NPI 1013482785 · live from the CMS NPI Registry
Advanced Alternative Healthcare Clinic, INC.
Massage Therapist in Scappoose, OR. National Provider Identifier 1013482785, active.
NPI record
| NPI | 1013482785 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 32811 Sw Huser Ln, Scappoose, OR 97056 |
| Practice phone | 503-267-7659 |
| Enumerated | October 9, 2018 |
| Last updated | June 30, 2021 |
| Authorized official | Shelby Fagan, President |
| Other names | Advanced Medical Massage |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.