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Individual

BARBARA J. SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
811 W 13TH ST, MEDFORD, OR 97501-3427
(541) 857-2063
(541) 857-2063
Mailing address
811 W 13TH ST, MEDFORD, OR 97501-3427
(541) 857-2063
(541) 857-2063

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12335
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12335
LICENSED MASSAGE THERAPY
OR
01
442261-00
NATIONAL MASSAGE CERTIFY
01
683799
HOME CARE PROVIDER NUMBER
OR
Enumeration date
03/24/2007
Last updated
04/16/2008
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