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Organization
ROGUE MASSAGE CLINIC, LLC
Active
Organization
ROGUE MASSAGE CLINIC, LLC
Active
Other names
Rogue Massage Clinic, LLC, Rogue Massage Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAKENZIE LAUREN HAY LMT (OWNER)
(541) 324-4179
Entity
Organization
Contact information
Practice address
3550 NATIONAL DRIVE, MEDFORD, OR 97504
(541) 324-4179
(541) 879-3025
Mailing address
3550 NATIONAL DRIVE, MEDFORD, OR 97504
(541) 324-4179
(541) 879-3025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21580
OR
Other
Enumeration date
06/14/2018
Last updated
06/16/2018
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