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CHAMPION MASSAGE LLC NPI 1821632456


NPI Information

NPI: 1821632456
Provider Name: CHAMPION MASSAGE LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
3190 STATE ST STE 101
MEDFORD, OR
ZIP 97504
Phone: (541) 772-4399
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CHAMPION 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. CHAMPION MASSAGE LLC NPI is 1821632456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3190 STATE ST STE 101
MEDFORD, OR
ZIP 97504-498
Phone: (541) 772-4399
Fax: (541) 772-4228

The provider's authorized official is Sara Ann Champion .
The authorized official title is Owner and has the following contact phone number (541) 772-4399.

The enumeration date for this NPI number is 11/6/2019 and was last updated on 11/6/2019.


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 TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11417104381OTHEROREGONSARA CHAMPION LMT

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

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