THERAPEUTIC INNOVATIONS LLC NPI 1669090411

NPI Information

  • NPI: 1669090411
  • Provider Name: THERAPEUTIC INNOVATIONS, LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 1957 THOMPSON RD STE H
    COOS BAY, OR
    ZIP 97420
  • Phone: (541) 294-4491

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NPI Details

THERAPEUTIC INNOVATIONS, LLC is a massage therapist in Coos Bay, 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. THERAPEUTIC INNOVATIONS, LLC NPI is 1669090411. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1957 THOMPSON RD STE H
COOS BAY, OR
ZIP 97420-040
Phone: (541) 294-4491
Fax: (541) 808-0790

The provider's authorized official is Shauna Samargis .
The authorized official title is Managing Member and has the following contact phone number (541) 294-4491.

The enumeration date for this NPI number is 7/8/2020 and was last updated on 7/8/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11689137812MEDICAIDOREGON
21073897112MEDICAIDOREGON

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: 3/30/2025

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