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Jordan K Deharty, LMT
Massage Therapist in Grants Pass, Oregon
NPI 1629680657

Jordan K Deharty is a Massage Therapist based in Grants Pass, OR. Jordan K Deharty practices in Grants Pass, OR and has the professional credentials of LMT. The NPI Number for Jordan K Deharty is 1629680657 and holds a License No. 21792 (Oregon).

The current practice location address for Jordan K Deharty is 333 Sw 5Th St, Grants Pass, OR and can be reached out via phone at 541-507-9894.

Location: 333 Sw 5Th St, Grants Pass, OR, 97526-2509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629680657
Provider Name
Jordan K Deharty
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
333 Sw 5Th St, Grants Pass, OR, 97526-2509
Phone Number
541-507-9894
Fax Number
Provider Enumeration Date
08/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 Sw 5Th St
City
Grants Pass
State
Oregon
Zip
97526-2509
Phone Number
541-507-9894
Fax Number
person
Provider Business Mailing Address Details
Address
333 Sw 5Th St
City
Grants Pass
State
Oregon
Zip
97526-2509
Phone Number
541-507-9894
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
21792 (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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