Doctor Name: | CRAIG A GOLDHAGEN |
NPI Number: | 1801193545 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 16705 |
Business Practice Address: | 230 E Main St Rogue River, OR - 975379416 |
Business Phone Number: | 5412951976 |
Business Fax Number: | |
Mailing Address: | Po Box 1827, ROGUE RIVER |
State: | OR |
Postal Code: | 975371827 |
Phone Number: | 5415828889 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 04/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 16705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |