Individual provider · Type 1 NPI
Jennifer Regina Vaughn, LMT
Massage Therapist · Jacksonville, OR
NPI number
1396290482
Active
Practice location
580 Blackstone Alley
Jacksonville, OR 97530-9007
Fax (541) 319-8748
Mailing address
2695 Orchard Home Dr
Medford, OR 97501-4234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 22543 (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.
2 other providers at this address
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About NPI 1396290482
Jennifer Regina Vaughn, LMT's National Provider Identifier is 1396290482, issued on Aug 18, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, OR. The record was last updated on Dec 4, 2022.