Kenneth McGrath, LMT
Massage Therapist in Medford, OR. Individual provider (NPI-1).
NPI number1710691753
StatusActive
Last updated in NPPESJan 12, 2023
Details
- NPI
- 1710691753
- Entity type
- Individual (NPI-1)
- Name
- Kenneth McGrath
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2023
- Certification date
- Jan 12, 2023
- Last updated
- Jan 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 27286 | OR | Yes |
Practice location
312 S Grape StMedford, OR 97501-3147
Phone 503-702-9941
Mailing address
1100 Ivy LnAshland, OR 97520-3236
Phone 503-702-9941
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