Ksiazak, Ilona D

Ksiazak, Ilona D is an sole proprietor health care provider with primary practice located at 132 W Main St , Medford OR 97501-2746. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Ksiazak, Ilona D can be contacted via phone (541) 772-2633.

Contact Information

Primary practice address
132 W Main St Medford OR 97501-2746
Phone: (541) 772-2633
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 21964 Oregon

Profile Details

NPI number 1730626789
LBN Legal business name Ksiazak, Ilona D
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2017
Last updated Jan 30th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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