Champion Massage Llc

LBN: Champion Massage Llc
Champion Massage Llc is an health care organization with primary practice located at 3190 State St Ste 101 , Medford OR 97504-8498. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as the primary health care specialty. Champion Massage Llc can be contacted via phone (541) 772-4399, or through Champion, Sara Ann via phone (541) 772-4399.

Contact Information

Primary practice address
3190 State St Ste 101 Medford OR 97504-8498
Phone: (541) 772-4399
Fax: (541) 772-4228
Website:
Map and Directions
Authorized official contact:
Name: Champion, Sara Ann LMT
Phone: (541) 772-4399

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1821632456
LBN Legal business name Champion Massage Llc
DBA Doing business as
Authorized official Champion, Sara Ann LMT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2019
Last updated Nov 6th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821632456 NPPES
Oregon Other 1417104381 SARA CHAMPION LMT

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