GRAPE STREET MASSAGE LLC NPI 1477148740

NPI Information

GRAPE STREET MASSAGE LLC is a massage therapist in Medford, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. GRAPE STREET MASSAGE LLC NPI is 1477148740. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

312 S GRAPE ST
MEDFORD, OR
ZIP 97501-147
Phone: (541) 261-8628
Fax: (938) 888-7262

The provider's authorized official is Samantha K Shorkey .
The authorized official title is Owner, Licensed Massage Therapist and has the following contact phone number (541) 261-8628.

The enumeration date for this NPI number is 3/8/2021 and was last updated on 3/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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