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Organization
WATERSTONE SPA
Active
Organization
WATERSTONE SPA
Active
Parent organization
MARK ANTONY HISTORIC PROPERTY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARK ANTONY HISTORIC PROPERTY LLC
Authorized official
DEB CLELAND LMT (SPA MANAGER)
(541) 488-0325
Entity
Organization
Contact information
Practice address
236 E MAIN ST, ASHLAND, OR 97520-1831
(541) 488-0325
Mailing address
236 E MAIN ST, ASHLAND, OR 97520-1831
(541) 488-0325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
10040
OR
225700000X
Massage Therapist
12260
OR
225700000X
Massage Therapist
13277
OR
225700000X
Massage Therapist
13700
OR
225700000X
Massage Therapist
14893
OR
225700000X
Massage Therapist
14949
OR
225700000X
Massage Therapist
15742
OR
225700000X
Massage Therapist
16600
OR
225700000X
Massage Therapist
Primary
19945
OR
225700000X
Massage Therapist
20191
OR
225700000X
Massage Therapist
3271
OR
225700000X
Massage Therapist
4717
OR
225700000X
Massage Therapist
7728
OR
225700000X
Massage Therapist
7830
OR
225700000X
Massage Therapist
9081
OR
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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