Mountain Medical Massage LLC
Massage Therapist in Medford, OR. Organization (NPI-2).
NPI number1124862974
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1124862974
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain Medical Massage LLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Jun 25, 2024
- Last updated
- Jun 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
836 E Main St Ste 3Medford, OR 97504-7115
Phone 541-450-9098
Mailing address
233 Rogue River Hwy # 1184Grants Pass, OR 97527-1600
Authorized official
Jessica Marvin
Owner
5412186930
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