Individual provider · Type 1 NPI

Katie Anne Bennett

Massage Therapist · Medford, OR

NPI number 1548745557 Active

Practice location

820 Crater Lake Ave Ste 113
Medford, OR 97504-6581

Mailing address

3794 Windgate St
Medford, OR 97504-9163

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24569 (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 1548745557

Katie Anne Bennett's National Provider Identifier is 1548745557, issued on Sep 26, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Sep 26, 2018.