Organization
NOVASANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KISSEL (OWNER)
(541) 249-9912
Entity
Organization
Contact information
Practice address
1300 SW G ST, GRANTS PASS, OR 97526-2551
(541) 249-9912
Mailing address
410 PLUMTREE LN, GRANTS PASS, OR 97526-7247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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