MEDICARE: KRISTINE CORRIGAN

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	7466	OR

General Provider Information

NPI Number	:	1215883491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINE CORRIGAN

Provider Business Mailing Address
First Line	:	PO BOX 553
Second Line	:
City	:	WILLIAMS
State	:	OR
Zip	:	97544-0553
Country	:	US
Telephone Number	:	541-819-0824
Fax Number	:

Provider Business Practice Location Address
First Line	:	598 NE E ST STE A
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-2350
Country	:	US
Telephone Number	:	541-819-0824
Fax Number	:	541-722-5076

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ KRISTINE CORRIGAN ” Practice Location

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