person
Mizuko Takamoto
Massage Therapist in Medford, Oregon
NPI 1043962780

Mizuko Takamoto is a Massage Therapist based in Des Moines, OR. Mizuko Takamoto practices in Medford, OR. The NPI Number for Mizuko Takamoto is 1043962780 and holds a License No. 26563 (Oregon).

The current practice location address for Mizuko Takamoto is 3200 Juanipero Way, Medford, OR and can be reached out via phone at 541-816-4131 and via fax at 458-226-2163.

Location: 3200 Juanipero Way, Medford, OR, 50312-9402
person
Provider Profile Details
NPI Number
1043962780
Provider Name
Mizuko Takamoto
Credential
Provider Entity Type
Individual
Gender
Male
Address
3200 Juanipero Way, Medford, OR, 50312-9402
Phone Number
541-816-4131
Fax Number
458-226-2163
Provider Enumeration Date
01/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 Juanipero Way
City
State
Zip
97504-8580
Phone Number
541-816-4131
Fax Number
458-226-2163
person
Provider Business Mailing Address Details
Address
3200 Juanipero Way
City
State
Zip
97504-8580
Phone Number
541-816-4131
Fax Number
458-226-2163
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
26563 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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