Individual provider · Type 1 NPI

Rebekah Virginia Lavonne Durham, LMT

Massage Therapist · Medford, OR

NPI number 1962911586 Active

Practice location

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

Call (541) 770-1606 Map

Fax (541) 393-9143

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22636 (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 1962911586

Rebekah Virginia Lavonne Durham, LMT's National Provider Identifier is 1962911586, issued on Sep 26, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Jul 21, 2022.