MEDICARE: VALERIE SCHLAHT 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	023527	OR

General Provider Information

NPI Number	:	1003311499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE SCHLAHT LMT

Provider Business Mailing Address
First Line	:	220 SE H ST STE 5B
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-3025
Country	:	US
Telephone Number	:	541-761-8572
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 SE H ST STE 5B
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-3025
Country	:	US
Telephone Number	:	541-761-8572
Fax Number	:

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

Provider Enumeration Date	:	03/27/2018
Last Update Date	:	03/27/2018

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Directions to “ VALERIE SCHLAHT LMT” Practice Location

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