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Alix Michele Marmulstein, LMT

Massage Therapist in Grants Pass, OR. Individual provider (NPI-1).

NPI number1669957296
StatusActive
Last updated in NPPESNov 12, 2024

Details

NPI
1669957296
Entity type
Individual (NPI-1)
Name
Alix Michele Marmulstein
Credential
LMT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2018
Certification date
Nov 12, 2024
Last updated
Nov 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist24560ORYes

Practice location

598 Ne E St Ste A
Grants Pass, OR 97526-2350

Phone 541-819-0824

Mailing address

P.O. Box 553
Williams, OR 97544

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