Ilona D Ksiazak, LMT | |
132 W Main St, Medford, OR 97501-2746 | |
(541) 772-2633 | |
Not Available |
Full Name | Ilona D Ksiazak |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 132 W Main St, Medford, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730626789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 21964 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ilona D Ksiazak, LMT 1040 Brandi Way, Central Point, OR 97502-2923 Ph: (815) 531-4495 | Ilona D Ksiazak, LMT 132 W Main St, Medford, OR 97501-2746 Ph: (541) 772-2633 |
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Elizabeth Bastidas, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1345 Center Dr Ste 100, Medford, OR 97501 Phone: 541-210-5674 Fax: 541-210-5674 | |
Betzy Russo, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1524 Jasper St, Medford, OR 97501 Phone: 541-951-6051 | |
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