Individual provider · Type 1 NPI

Corie Waite, LMT

Massage Therapist · Medford, OR

NPI number 1790800563 Active

Practice location

977 Royal Ave
Medford, OR 97504-6140

Call (541) 779-8331 Map

Fax (541) 779-0217

Mailing address

3474 Lone Pine Rd
Medford, OR 97504-5635

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11297 (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 1790800563

Corie Waite, LMT's National Provider Identifier is 1790800563, issued on Mar 20, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Jul 8, 2007.