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NPI Code Detail

MEDICARE: WENDY ROBINSON

MEDICARE: WENDY ROBINSON
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
1225700000XMassage Therapist12333OR

General Provider Information

NPI Number : 1932338761
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY ROBINSON
Provider Business Mailing Address
First Line : 143 BIRCH WOOD
Second Line :
City : EAGLE POINT
State : OR
Zip : 97524-9717
Country : US
Telephone Number : 541-941-2479
Fax Number :
Provider Business Practice Location Address
First Line : 155 ALTA VISTA RD STE C
Second Line :
City : EAGLE POINT
State : OR
Zip : 97524-9735
Country : US
Telephone Number : 541-830-0335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2009
Last Update Date : 07/14/2009

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