Nathan Idrogo, LMT

NPI #1134995954 in White City, Oregon

Provider Information

NPI Number
1134995954
Entity Type
Individual
Name
Nathan Idrogo, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Dec 1, 2023
Last Updated
Dec 1, 2023

Practice Location

Address
7551 CRATER LAKE HWY STE B
State
Oregon
ZIP Code
97503-1670
Phone
(541) 601-1708

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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