Individual provider · Type 1 NPI

Tayler Waddell, LMT

Massage Therapist · Medford, OR

NPI number 1508457888 Active

Practice location

977 Royal Ave
Medford, OR 97504-6140

Call (541) 414-0362 Map

Fax (541) 200-2262

Mailing address

1744 E Mcandrews Rd Ste D
Medford, OR 97504-5576

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19652 (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 1508457888

Tayler Waddell, LMT's National Provider Identifier is 1508457888, issued on Jan 29, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Jan 29, 2021.