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NAUTILUS MASSAGE THERAPY BY ALYSE CONLEY NPI 1932580255


NPI Information

NPI: 1932580255
Provider Name: NAUTILUS MASSAGE THERAPY BY ALYSE CONLEY

Doing Business As: NAUTILUS MASSAGE THERAPY

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
810 E JACKSON ST STE B
810 EAST JACKSON ST SUITE B
MEDFORD, OR
ZIP 97504
Phone: (154) 173-1137
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NAUTILUS MASSAGE THERAPY BY ALYSE CONLEY is a point of service in Medford, OR. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. NAUTILUS MASSAGE THERAPY BY ALYSE CONLEY NPI is 1932580255. The provider is registered as an organization entity type.
The provider Is Doing Business As Nautilus Massage Therapy.

The provider's business location address is:

810 E JACKSON ST STE B
810 EAST JACKSON ST SUITE B
MEDFORD, OR
ZIP 97504-773
Phone: (154) 173-1137

The provider's authorized official is Mary Alyse Conely .
The authorized official title is Lmt and has the following contact phone number (541) 973-1137.

The enumeration date for this NPI number is 6/11/2015 and was last updated on 6/11/2015.


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
1305S00000XPoint of Service18674OREGONYes

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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