| NPI | 1386137248 |
|---|---|
| Former Legal Business Name | ROGUE MASSAGE CLINIC, LLC |
| Doing Business As | ROGUE MASSAGE CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | MAKENZIE LAUREN HAY Owner 541-324-4179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 21580) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-16 |