Provider Demographics
NPI:1316224892
Name:SEMPER, ANITA GABRIELE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:GABRIELE
Last Name:SEMPER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 PATTON BAR RD
Mailing Address - Street 2:
Mailing Address - City:CAVE JUNCTION
Mailing Address - State:OR
Mailing Address - Zip Code:97523-9660
Mailing Address - Country:US
Mailing Address - Phone:541-621-0434
Mailing Address - Fax:
Practice Address - Street 1:154 PATTON BAR RD
Practice Address - Street 2:
Practice Address - City:CAVE JUNCTION
Practice Address - State:OR
Practice Address - Zip Code:97523-9660
Practice Address - Country:US
Practice Address - Phone:541-621-0434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5359225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist