Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH OSCAR MANICH, LICENSED MASSAGE THE
ActiveMassage Therapist · MEDFORD, OR
Registration Details
- NPI Number
- 1639383086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2007 (18.955081189269 yrs)
- Last Updated
- Jun 27, 2016
- License
-
12489OREGON (OR)
Practice Information
- Address
-
2596 E BARNETT RDROGUE HEALTH LLCMEDFORD, OR, 975044340Browse OR providers · Browse ZIP 97504
- Phone
- 5412612222
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| MR. FREDERICK KATZ | LMT | 1972672616 |
| JOLEEN LOUISE SMITH | LMT, CST | 1609903467 |
| CARA A. WIRT | LMT | 1730212440 |
| ANDREA CATHERINE LOCKETT | — | 1255465332 |
| CORIE WAITE | LMT | 1790800563 |
| BARBARA J. SCOTT | LMT | 1831216787 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.