Waterstone Spa

NPI #1962803999 in Ashland, Oregon

Provider Information

NPI Number: 1962803999
Entity Type: Organization
Organization Name: Waterstone Spa
Subpart: Yes (part of a larger organization)
Parent Organization: MARK ANTONY HISTORIC PROPERTY LLC
Primary Specialty: Massage Therapist
Enumeration Date: Sep 9, 2014
Last Updated: Sep 9, 2014

Practice Location

Address: 236 E MAIN ST
City: Ashland
State: Oregon
ZIP Code: 97520-1831
Phone: (541) 488-0325

Authorized Official

Name: DEB CLELAND, LMT
Title: SPA MANAGER
Phone: (541) 488-0325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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