Organization
ADVANCED MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GOODWINE LMT (CO-OWNER/MASSAGE THERAPIST)
(541) 261-3384
Entity
Organization
Contact information
Practice address
7 CRATER LAKE AVE STE G, MEDFORD, OR 97504-7466
(541) 261-3384
Mailing address
1986 SKYPARK DR APT D, MEDFORD, OR 97504-5759
(541) 261-3384
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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