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NPI Code Detail

MEDICARE: VICTORIA WATKINS LMT

MEDICARE:   VICTORIA  WATKINS  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
1225700000XMassage TherapistLMT24225OR

General Provider Information

NPI Number : 1982181285
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA WATKINS LMT
Provider Business Mailing Address
First Line : 3821 MAZAMA DR
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-7924
Country : US
Telephone Number : 541-887-2071
Fax Number : 541-851-9322
Provider Business Practice Location Address
First Line : 4036 S 6TH ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-4750
Country : US
Telephone Number : 541-851-9320
Fax Number : 541-851-9322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2018
Last Update Date : 07/19/2018

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Directions to “ VICTORIA WATKINS LMT” Practice Location

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