Organization
ASHLAND MYOFASCIAL RELEASE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SERVANT MPT (LLC MEMBER)
(541) 261-4751
Entity
Organization
Contact information
Practice address
308 N LAUREL ST, ASHLAND, OR 97520-1111
(541) 482-9182
(541) 482-9181
Mailing address
308 N LAUREL ST, ASHLAND, OR 97520-1111
(541) 482-9182
(541) 482-9181
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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