Michelle Roberts-Maxwell, LMT
Individual provider Active NPI Massage Therapist · Talent, OR
NPI 1265160477 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1265160477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 27155 (OR)
- Practice address
- 314 E Main St
Talent, OR 97540 - Phone
- (541) 210-5999
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27155 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body in Context | Massage Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 27155 | OR | Yes |
Addresses
Primary practice location
314 E Main St
Talent, OR 97540
Mailing address
3604 Fieldbrook Ave
Medford, OR 97504-9465
Phone (541) 890-1925
Other providers in Talent, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.