Rogue Health LLC
Chiropractor in Medford, OR. Organization (NPI-2).
NPI number1295100766
StatusActive
Last updated in NPPESJul 16, 2018
Details
- NPI
- 1295100766
- Entity type
- Organization (NPI-2)
- Legal business name
- Rogue Health LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2015
- Last updated
- Jul 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 5044 | OR | Yes |
| 225700000X | Massage Therapist | 18016 | OR |
Practice location
2596 E Barnett Rd Ste BMedford, OR 97504
Phone 541-727-1996
Mailing address
2640 E Barnett Rd # E-125Medford, OR 97504-4301
Phone 541-727-1996
Authorized official
Therese Holliday
Owner / Lmt
5417271996
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