Siskiyou Massage, LLC

NPI #1972830149 in Ashland, Oregon

Provider Information

NPI Number: 1972830149
Entity Type: Organization
Organization Name: Siskiyou Massage, LLC
Primary Specialty: Specialist
Enumeration Date: Nov 10, 2009
Last Updated: Jan 19, 2018

Practice Location

Address: 550 SISKIYOU BLVD.
City: Ashland
State: Oregon
ZIP Code: 97520
Phone: (541) 488-6757

Authorized Official

Name: MR. PHILIP WHITMORE, LMT
Title: OWNER
Phone: (541) 488-6757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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