Mrs. Samantha A Rose
Massage Therapist
1722 E. Mcandrews Rd. Suite B
Medford
, Oregon 97504
Mrs. Samantha A Rose
Massage Therapist
1722 E. Mcandrews Rd. Suite B
Medford
, Oregon 97504
(541) 778-7889
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mrs. Samantha A Rose
- 1722 E Mcandrews Rd Suite B
- Medford, OR
- Zip : 97504-5580
- Phone : (541) 778-7889
Second Address
- Mrs. Samantha A Rose
- 1722 E. Mcandrews Rd. Suite B
- Medford, OR
- Zip : 97504
- Phone : (541) 778-7889
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13153 | OR |
National Provider Identifier
| NPI | 1013157023 |
|---|---|
| Provider Name | Mrs. Samantha A Rose |
| First Address | Medford, OR 97504-5580 |
| Second Address | Medford, OR 97504 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2009 |
| Last Update Date | 17/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.