Tara Ashe, LMT

Individual provider Active NPI Massage Therapist · Springfield, OR

NPI 1669962973 · NPPES record last updated May 11, 2018

Key facts

NPI
1669962973
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
24038 (OR)
Practice address
155 W a St
Springfield, OR 97477-4516
Phone
(541) 747-4555
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
24038ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc, Inc. Dba Island Park Chiropractic Past
since Apr 15, 2004
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 24038 OR Yes

Addresses

Primary practice location

155 W a St
Springfield, OR 97477-4516

Mailing address

649 W 12TH Ave
Eugene, OR 97402-4005
Phone (541) 981-4121

Other providers in Springfield, OR

All providers in Springfield, OR · Massage Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.