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Reva Jeanne Whitson, LMT
Massage Therapist in Myrtle Creek, Oregon
NPI 1629542626

Reva Jeanne Whitson is a Massage Therapist based in Myrtle Creek, OR. Reva Jeanne Whitson practices in Myrtle Creek, OR and has the professional credentials of LMT. The NPI Number for Reva Jeanne Whitson is 1629542626 and holds a License No. 22523 (Oregon).

The current practice location address for Reva Jeanne Whitson is 837 N Main St., Myrtle Creek, OR and can be reached out via phone at 541-863-4920.

Location: 837 N Main St., Myrtle Creek, OR, 97457-0019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629542626
Provider Name
Reva Jeanne Whitson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
837 N Main St., Myrtle Creek, OR, 97457-0019
Phone Number
541-863-4920
Fax Number
Provider Enumeration Date
01/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22523 01 OR OBMT
institution
Provider Business Practice Location Address Details
Address
837 N Main St.
City
Myrtle Creek
State
Oregon
Zip
97457
Phone Number
541-863-4920
Fax Number
person
Provider Business Mailing Address Details
Address
837 N Main St.
City
Myrtle Creek
State
Oregon
Zip
97457
Phone Number
541-863-4920
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
22523 (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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