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MR. KEITH OSCAR MANICH LICENSED MASSAGE THE NPI 1639383086


NPI Information

NPI: 1639383086
Provider Name: MR. KEITH OSCAR MANICH, LICENSED MASSAGE THE
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2596 E BARNETT RD
ROGUE HEALTH LLC
MEDFORD, OR
ZIP 97504
Phone: (541) 261-2222
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MR. Keith Oscar Manich, LICENSED MASSAGE THE 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. MR. Keith Oscar Manich, LICENSED MASSAGE THE NPI is 1639383086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2596 E BARNETT RD
ROGUE HEALTH LLC
MEDFORD, OR
ZIP 97504-340
Phone: (541) 261-2222

The enumeration date for this NPI number is 5/9/2007 and was last updated on 6/27/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist12489OREGONOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.