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Olivia Johnson, LMT
Massage Therapist in Medford, Oregon
NPI 1619568995

Olivia Johnson is a Massage Therapist based in Medford, OR. Olivia Johnson practices in Medford, OR and has the professional credentials of LMT. The NPI Number for Olivia Johnson is 1619568995 and holds a License No. 25888 (Oregon).

The current practice location address for Olivia Johnson is 2921 Doctors Park Dr, Medford, OR and can be reached out via phone at 541-414-0362 and via fax at 541-200-2262.

Location: 2921 Doctors Park Dr, Medford, OR, 97504-5576
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Provider Profile Details
NPI Number
1619568995
Provider Name
Olivia Johnson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2921 Doctors Park Dr, Medford, OR, 97504-5576
Phone Number
541-414-0362
Fax Number
541-200-2262
Provider Enumeration Date
01/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25888 01 OR OREGON HEALTH DEPARTMENT
institution
Provider Business Practice Location Address Details
Address
2921 Doctors Park Dr
City
State
Zip
97504-8127
Phone Number
541-414-0362
Fax Number
541-200-2262
person
Provider Business Mailing Address Details
Address
2921 Doctors Park Dr
City
State
Zip
97504-8127
Phone Number
541-414-0362
Fax Number
541-200-2262
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
25888 (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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