NPI 1184094401 · live from the CMS NPI Registry
Jessica Lea Aguilar Flores, LMT
Massage Therapist in Cottage Grove, OR. National Provider Identifier 1184094401, active.
NPI record
| NPI | 1184094401 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 104b S Pacific Hwy # 99, Cottage Grove, OR 97424 |
| Practice phone | 541-767-1616 |
| Mailing address | 1592 E Chamberlain Ave, Cottage Grove, OR 97424 |
| Enumerated | September 29, 2015 |
| Last updated | September 29, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 20624 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.