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Ethan H Canoe, LMT
Massage Therapist in Grants Pass, Oregon
NPI 1770362956

Ethan H Canoe is a Massage Therapist based in Grants Pass, OR. Ethan H Canoe practices in Grants Pass, OR and has the professional credentials of LMT. The NPI Number for Ethan H Canoe is 1770362956 and holds a License No. (Oregon).

The current practice location address for Ethan H Canoe is 333 Sw 5Th St Ste B, Grants Pass, OR and can be reached out via phone at 541-471-0397 and via fax at 541-471-6459.

Location: 333 Sw 5Th St Ste B, Grants Pass, OR, 97526-2509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770362956
Provider Name
Ethan H Canoe
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
333 Sw 5Th St Ste B, Grants Pass, OR, 97526-2509
Phone Number
541-471-0397
Fax Number
541-471-6459
Provider Enumeration Date
09/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 Sw 5Th St Ste B
City
Grants Pass
State
Oregon
Zip
97526-2509
Phone Number
541-471-0397
Fax Number
541-471-6459
person
Provider Business Mailing Address Details
Address
333 Sw 5Th St Ste B
City
Grants Pass
State
Oregon
Zip
97526-2509
Phone Number
541-471-0397
Fax Number
541-471-6459
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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