Individual provider · Type 1 NPI

Mizuko Takamoto

Massage Therapist · Medford, OR

NPI number 1043962780 Active

Practice location

3200 Juanipero Way
Medford, OR 97504-8580

Call (541) 816-4131 Map

Fax (458) 226-2163

Mailing address

PO Box 12096
Des Moines, IA 50312-9402

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26563 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1043962780

Mizuko Takamoto's National Provider Identifier is 1043962780, issued on Jan 24, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Sep 14, 2023.