Organization
SISKIYOU MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP WHITMORE LMT (OWNER)
(541) 488-6757
Entity
Organization
Contact information
Practice address
550 SISKIYOU BLVD., ASHLAND, OR 97520
(541) 488-6757
(541) 482-2064
Mailing address
550 SISKIYOU BLVD, ASHLAND, OR 97520
(541) 488-6757
(541) 482-2064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11678
OR
Other
Enumeration date
11/10/2009
Last updated
01/19/2018
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