Organization
ANATRYPSIS MASSAGE AND WELLNESS
Active
Parent organization
TROIS ESTHETICS AND MASSAGE LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
TROIS ESTHETICS AND MASSAGE LLP
Authorized official
AMIE MCCORMICK LMT (OWNER LICENSED MASSAGE THERAPIST)
(541) 816-4332
Entity
Organization
Contact information
Practice address
711 E MAIN ST STE 16, MEDFORD, OR 97504-7139
(541) 816-4332
Mailing address
4479 S PACIFIC HWY, PHOENIX, OR 97535-6600
(541) 210-0226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21801
LMT NUMBER
OR
Enumeration date
03/11/2019
Last updated
06/11/2019
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