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CUSTOM MASSAGE BUILDERS NPI 1154854834


NPI Information

NPI: 1154854834
Provider Name: CUSTOM MASSAGE BUILDERS
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
2312 NW KINGS BLVD
CORVALLIS, OR
ZIP 97330
Phone: (541) 231-2314
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CUSTOM MASSAGE BUILDERS is a massage therapist in Corvallis, 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. CUSTOM MASSAGE BUILDERS NPI is 1154854834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2312 NW KINGS BLVD
CORVALLIS, OR
ZIP 97330-925
Phone: (541) 231-2314

The provider's authorized official is Donald Bataglia .
The authorized official title is Owner and has the following contact phone number (541) 231-2314.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.


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 Therapist17412OREGONYes

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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