Rogue Health LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5044 Issued in OR

Legal business name

ROGUE HEALTH LLC

Practice address

2596 E Barnett Rd Ste B
Medford, OR 97504

Phone

(541) 727-1996

NPI assigned

Dec 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Therese Holliday, LMT, CCANPI 1699052001

Title

Owner / LMT

Phone

(541) 727-1996

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Therese Holliday, LMT, CCA

  • Massage Therapist
  • Medford, OR
  • NPI 1699052001
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1295100766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 E BARNETT RD # E-125",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044301",
            "telephone_number": "541-727-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2596 E BARNETT RD STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-727-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "OWNER / LMT",
        "authorized_official_telephone_number": "541-727-1996",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, CCA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5044",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rogue Community Health
• Rogue Community Health
• Rogue Community Health
• Rogue Endocrinology and Metabolic Clinic
• Rogue Functional Wellness LLC
• Rogue Holistic Therapy
• Rogue Integrative Care, LLC
• Rogue Massage Clinic, LLC
• Rogue Pediatric Therapies, LLC
• Rogue Periodontics & Implant Dentistry

• Chiropractor in Medford, OR
• Providers in Medford, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.