MICHELLE L BLAKE

SALEM, OR
NPI1235125857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  4657)
Enumeration Date2005-09-20
Last Update Date2007-07-08
Business Address
Ms. MICHELLE L BLAKE LMT
580 EWALD AVE SE
SALEM, OR 97302-3811
Phone number: 503-391-1092
Mailing Address
Ms. MICHELLE L BLAKE LMT
580 EWALD AVE SE
SALEM, OR 97302-3811
Phone number: 503-391-1092