Caitlin Rose Fears, L.M.T.
Specialist in Medford, OR. Individual provider (NPI-1).
NPI number1962829598
StatusActive
Last updated in NPPESMar 20, 2014
Details
- NPI
- 1962829598
- Entity type
- Individual (NPI-1)
- Name
- Caitlin Rose Fears
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2014
- Last updated
- Mar 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 15835 | OR | Yes |
Practice location
1100 E Main StMedford, OR 97504-7458
Phone 541-261-4146
Mailing address
1100 E Main StMedford, OR 97504-7458
Phone 541-261-4146
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