EPICENTER THERAPEUTIC BODYWORK AND MASSAGE LLC NPI 1720773328

NPI Information

NPI: 1720773328
Provider Name: EPICENTER THERAPEUTIC BODYWORK AND MASSAGE LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
412 N IVY ST APT 2B
MEDFORD, OR
ZIP 97501
Phone: (541) 525-8115
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EPICENTER THERAPEUTIC BODYWORK AND 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. EPICENTER THERAPEUTIC BODYWORK AND MASSAGE LLC NPI is 1720773328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

412 N IVY ST APT 2B
MEDFORD, OR
ZIP 97501-588
Phone: (541) 525-8115

The provider's authorized official is Fenicks Renasci .
The authorized official title is President and has the following contact phone number (541) 525-8115.

The enumeration date for this NPI number is 4/10/2023 and was last updated on 4/10/2023.

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
1	225700000X	Massage Therapist				Yes

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: 5/5/2024

NPI Synchronization or Removal

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