SHANTELL AMMIRATA
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1912402827- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 229 N BARTLETT ST STE 208, MEDFORD, OR, 975016030
- Phone
- (541) 779-4446
Specialties & Taxonomies
Massage Therapist
Massage Therapist
Primary License: OR #22513
All Addresses
MAILING
1242 GREENTREE WAY
CENTRAL POINT, OR, 975022983