Organization
NEW PATH MASSAGE INC
Active
Other names
New Path Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH W COOK LMT (PRESIDENT)
(503) 939-2946
Entity
Organization
Contact information
Practice address
310 S 3RD ST, CARLTON, OR 97111-9623
(503) 939-2946
Mailing address
PO BOX 610, CARLTON, OR 97111-0610
(503) 939-2946
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13614
OR
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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