Samantha McIntyre, LMT
Massage Therapist in Medford, OR. Individual provider (NPI-1).
NPI number1710690144
StatusActive
Last updated in NPPESDec 30, 2022
Details
- NPI
- 1710690144
- Entity type
- Individual (NPI-1)
- Name
- Samantha McIntyre
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2022
- Certification date
- Dec 30, 2022
- Last updated
- Dec 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 27383 | OR | Yes |
Practice location
820 Crater Lake Ave Ste 113Medford, OR 97504-6581
Phone 541-770-1606
Mailing address
820 Crater Lake Ave Ste 113Medford, OR 97504-6581
Phone 541-770-1606
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