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Susan Johanna Bouman, LMT
Massage Therapist in Ashland, Oregon
NPI 1104303916

Susan Johanna Bouman is a Massage Therapist based in Ashland, OR. Susan Johanna Bouman practices in Ashland, OR and has the professional credentials of LMT. The NPI Number for Susan Johanna Bouman is 1104303916 and holds a License No. 3265 (Oregon).

The current practice location address for Susan Johanna Bouman is 550 Siskiyou Blvd, Ashland, OR and can be reached out via phone at 541-488-6757.

Location: 550 Siskiyou Blvd, Ashland, OR, 97520-2138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104303916
Provider Name
Susan Johanna Bouman
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
550 Siskiyou Blvd, Ashland, OR, 97520-2138
Phone Number
541-488-6757
Fax Number
Provider Enumeration Date
07/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
550 Siskiyou Blvd
City
Ashland
State
Oregon
Zip
97520-2138
Phone Number
541-488-6757
Fax Number
person
Provider Business Mailing Address Details
Address
550 Siskiyou Blvd
City
Ashland
State
Oregon
Zip
97520-2138
Phone Number
541-488-6757
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
3265 (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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