NPI 1366085250 · live from the CMS NPI Registry
Advanced Myotherapy
Massage Therapist in Ashland, OR. National Provider Identifier 1366085250, active.
NPI record
| NPI | 1366085250 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 279 Liberty St, Ashland, OR 97520 |
| Practice phone | 541-482-0413 |
| Mailing address | 1467 Siskiyou Blvd # 53, Ashland, OR 97520 |
| Enumerated | October 23, 2019 |
| Last updated | October 23, 2019 |
| Authorized official | Joseph Micketti, President |
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.