Julie Anne Amador, LMT#14168

Individual provider Active NPI Massage Therapist · Central Point, OR

NPI 1194078477 · NPPES record last updated Oct 24, 2012

Key facts

NPI
1194078477
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
14168 (OR)
Practice address
1074 Beall LN
Central Point, OR 97502-2717
Phone
(541) 613-0603
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14168ORMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14168 OR Yes

Addresses

Primary practice location

1074 Beall LN
Central Point, OR 97502-2717

Mailing address

2643 Cummings LN
Medford, OR 97501-7517
Phone (541) 613-0603

Other providers in Central Point, OR

All providers in Central Point, OR · Massage Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.