Most Relevant Information
Provider Data
| NPI Number: | 1003281163 |
| Provider Name: | LILLY PEARL BATY LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 2325 |
Most Important Dates
| Enumeration Date: | 12/01/2015 |
| Last Updated: | 12/01/2015 |
Provider Practice Location
485 E MAIN ST
SUITE 06
ASHLAND
OR
975202162
Practice Location Phone/Fax
| Phone: | 5416311538 |
| Fax: |
Provider Mailing Location
496 CLINTON ST
ASHLAND
OR
975201215
Provider Mailing Phone/Fax
| Phone: | 5416311538 |
| Fax: |