Advanced Myotherapy
Organization Active NPI Massage Therapist · Ashland, OR
NPI 1366085250 · NPPES record last updated Oct 23, 2019
Key facts
- NPI
- 1366085250
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Massage Therapist 225700000X
- Legal business name
- ADVANCED MYOTHERAPY
- Practice address
- 279 Liberty St
Ashland, OR 97520-2901 - Phone
- (541) 482-0413
- NPI assigned
- Oct 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph Micketti, LMT
- Title
- President
- Phone
- (541) 482-0413
Practitioners 1
-
Joseph Micketti, LMT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | Yes |
Addresses
Primary practice location
279 Liberty St
Ashland, OR 97520-2901
Mailing address
1467 Siskiyou Blvd # 53
Ashland, OR 97520-2336
Phone (541) 482-0413
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2019. 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.