Individual provider · Type 1 NPI

Mia N. Deane, LMT

Massage Therapist · Medford, OR

NPI number 1992904429 Active

Practice location

1150 Crater Lake Ave, Ste. G
Medford, OR 97504-6213

Mailing address

2408 Bell Ct
Medford, OR 97504-1752

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13269 (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 1992904429

Mia N. Deane, LMT's National Provider Identifier is 1992904429, issued on Jul 14, 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 14, 2007.