MEDICARE: ALLISSA MARQUEZ LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	25311	OR

General Provider Information

NPI Number	:	1215862420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISSA MARQUEZ LMT

Provider Business Mailing Address
First Line	:	316 TUSSEY LN
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97527-5466
Country	:	US
Telephone Number	:	541-761-5922
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 NE SAVAGE ST STE D
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-1361
Country	:	US
Telephone Number	:	541-761-5922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “ ALLISSA MARQUEZ LMT” Practice Location

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