NPI 1043099484 · live from the CMS NPI Registry
Advanced Massage LLC
Massage Therapist in Medford, OR. National Provider Identifier 1043099484, active.
NPI record
| NPI | 1043099484 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 7 Crater Lake Ave Ste G, Medford, OR 97504 |
| Practice phone | 541-261-3384 |
| Mailing address | 1986 Skypark Dr Apt D, Medford, OR 97504 |
| Enumerated | September 25, 2023 |
| Last updated | September 25, 2023 |
| Authorized official | Jennifer Goodwine, Co-Owner/Massage Therapist |
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.