Kevin Glen Farrow, LMT
Massage Therapist in Medford, OR. Individual provider (NPI-1).
NPI number1083179006
StatusActive
Last updated in NPPESFeb 4, 2019
Details
- NPI
- 1083179006
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin Glen Farrow
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2019
- Last updated
- Feb 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 21617 | OR | Yes |
Practice location
1801 Poplar DrApt 60
Medford, OR 97504
Phone 541-227-1640
Mailing address
1801 Poplar DrApt 60
Medford, OR 97504
Phone 541-227-1640
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