MS. Susannah Jane Elder, L.M.T., NCBTMB

NPI #1518039890 in Medford, Oregon

Provider Information

NPI Number
1518039890
Entity Type
Individual
Name
MS. Susannah Jane Elder, L.M.T., NCBTMB
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
L.M.T., NCBTMB
Enumeration Date
Nov 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
832 E MAIN ST
Address 2
STE. 6
State
Oregon
ZIP Code
97504-7153
Phone
(541) 772-5939

Specialties & Taxonomy Codes

Specialty
Specialist

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