Healthcare Provider Details

I. General information

NPI: 1447161591
Provider Name (Legal Business Name): HANNAH ROSANELLI LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 3RD ST
ASHLAND OR
97520-1931
US

IV. Provider business mailing address

PO BOX 124
GOLD HILL OR
97525-0124
US

V. Phone/Fax

Practice location:
  • Phone: 425-444-7981
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number28684
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: