Individual provider · Type 1 NPI

Joseph Micketti, LMT

Massage Therapist · Ashland, OR

NPI number 1801437157 Active

Practice location

279 Liberty St
Ashland, OR 97520-2901

Call (541) 482-0413 Map

Mailing address

1467 Siskiyou Blvd # 53
Ashland, OR 97520-2336

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4348 (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 1801437157

Joseph Micketti, LMT's National Provider Identifier is 1801437157, issued on Oct 7, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ashland, OR. The record was last updated on Oct 7, 2019.