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Organization
THERAPEUTIC INNOVATIONS, LLC
Active
Organization
THERAPEUTIC INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA SAMARGIS (MANAGING MEMBER)
(541) 294-4491
Entity
Organization
Contact information
Practice address
1957 THOMPSON RD STE H, COOS BAY, OR 97420-2040
(541) 294-4491
(541) 808-0790
Mailing address
1957 THOMPSON RD STE H, COOS BAY, OR 97420-2040
(541) 294-4491
(541) 808-0790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073897112
—
OR
05
—
1689137812
—
OR
Enumeration date
07/08/2020
Last updated
07/08/2020
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