Organization
BODY ESSENTIAL PHYSICAL THERAPY AND MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAWKS (SOLE PROPRIETOR OWNER AND STAFF)
(541) 784-7771
Entity
Organization
Contact information
Practice address
1032 SE LANE AVE, ROSEBURG, OR 97470-3956
(541) 784-7771
(541) 672-1466
Mailing address
428 OAKVIEW DR, ROSEBURG, OR 97471-9519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03533
OR
225700000X
Massage Therapist
13630
OR
Other
Enumeration date
04/01/2015
Last updated
05/24/2023
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