Organization
H.B DALTON, LLC
Active
Parent organization
H.B DALTON LLC
Other names
Daltons Therapeutic Massage
Organization subpart
Yes
Provider details
NPI number
Legal business name
H.B DALTON LLC
Authorized official
MRS. SAMANTHA ROSE LMT, LE (PROVIDER OWNER)
(541) 622-8057
Entity
Organization
Contact information
Practice address
1722 E MCANDREWS RD STE B, MEDFORD, OR 97504-5500
(541) 622-8057
(541) 622-8058
Mailing address
1517 SISKIYOU BLVD, MEDFORD, OR 97504-7568
(541) 778-7889
(541) 622-8058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
13153
OR
247200000X
Other Technician
Primary
CAE-P-10182922
OR
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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