Darcie Gibson
Individual provider Active NPI Massage Therapist · Oakridge, OR
NPI 1699280180 · NPPES record last updated Mar 8, 2023
Key facts
- NPI
- 1699280180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 48134 Highway 58
Oakridge, OR 97463-9601 - Phone
- (541) 556-0525
- NPI assigned
- Dec 6, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
48134 Highway 58
Oakridge, OR 97463-9601
Mailing address
48254 Y Dr
Oakridge, OR 97463-9407
Phone (541) 556-0525
Other providers in Oakridge, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2023. 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.