Organization
INWARD BOUND WELLNESS CENTER
Active
Organization
INWARD BOUND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN DOMINGUEZ LMT (OWNER/MASSAGE THERAPIST)
(541) 778-1743
Entity
Organization
Contact information
Practice address
611 SISKIYOU BLVD, SUITE 10, ASHLAND, OR 97520-2151
(541) 488-0108
Mailing address
611 SISKIYOU BLVD, SUITE 10, ASHLAND, OR 97520-2151
(541) 488-0108
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
13700
OR
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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