Provider Demographics
NPI:1407162548
Name:WORKMAN, ELIZABETH ARIEL (LMT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ARIEL
Last Name:WORKMAN
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 1:208 OAK ST
Mailing Address - Street 2:STE 201
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1871
Mailing Address - Country:US
Mailing Address - Phone:541-414-7934
Mailing Address - Fax:
Practice Address - Street 1:208 OAK ST
Practice Address - Street 2:STE 201
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1871
Practice Address - Country:US
Practice Address - Phone:541-326-2740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14124225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist