Organization
FUNCTIONAL FLEXION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN DEHARTY LMT #21792 (CO-OWNER)
(541) 425-6254
Entity
Organization
Contact information
Practice address
1825 NEBRASKA AVE, GRANTS PASS, OR 97527-5701
(541) 425-6254
Mailing address
1825 NEBRASKA AVE, GRANTS PASS, OR 97527-5701
(541) 425-6254
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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