Healthcare Provider Details

I. General information

NPI: 1962368266
Provider Name (Legal Business Name): MASSAGE FOR YOU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 Q ST
SPRINGFIELD OR
97477-2120
US

IV. Provider business mailing address

6367 F ST
SPRINGFIELD OR
97478-7087
US

V. Phone/Fax

Practice location:
  • Phone: 541-606-5954
  • Fax:
Mailing address:
  • Phone: 541-606-5954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY RYAN BROWN
Title or Position: OWNER MASSAGE THERAPIST
Credential: LMT
Phone: 541-606-5954