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NPI 1437535960 · live from the CMS NPI Registry

Trout America, LMT

Massage Therapist in Ashland, OR. National Provider Identifier 1437535960, active.

NPI record

NPI1437535960 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location280 E Hersey St, Ashland, OR 97520
Practice phone541-326-7197
Mailing address4262 Clayton Rd, Ashland, OR 97520
EnumeratedAugust 6, 2015
Last updatedOctober 1, 2015
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X18854 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.