Audra Elizabeth Castillo, L.M.T.
Massage Therapist in Medford, OR. Individual provider (NPI-1).
NPI number1265686554
StatusActive
Last updated in NPPESNov 13, 2008
Details
- NPI
- 1265686554
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Audra Elizabeth Castillo
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2008
- Last updated
- Nov 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 11588 | OR | Yes |
Practice location
1117 E Main StSuite 4
Medford, OR 97504-7404
Phone 541-779-2577
Mailing address
2033 Spring StMedford, OR 97504-6371
Phone 541-890-4596 · Fax 541-227-6705
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All 195 Massage Therapist providers in Medford · All 5,435 providers in Medford
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