New Path Massage INC

NPI #1881951176 in Carlton, Oregon

Provider Information

NPI Number: 1881951176
Entity Type: Organization
Organization Name: New Path Massage INC
Primary Specialty: Massage Therapist
Enumeration Date: Apr 12, 2012
Last Updated: Apr 12, 2012

Practice Location

Address: 310 S 3RD ST
City: Carlton
State: Oregon
ZIP Code: 97111-9623
Phone: (503) 939-2946

Authorized Official

Name: JEREMIAH W COOK, LMT
Title: PRESIDENT
Phone: (503) 939-2946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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