Provider Demographics
NPI:1639889207
Name:FLOW LYMPHATICS & MASSAGE LLC
Entity Type:Organization
Organization Name:FLOW LYMPHATICS & MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:R
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, CMLDT
Authorized Official - Phone:541-930-2445
Mailing Address - Street 1:2695 ORCHARD HOME DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-4234
Mailing Address - Country:US
Mailing Address - Phone:808-283-1164
Mailing Address - Fax:541-319-8748
Practice Address - Street 1:580 BLACKSTONE ALLEY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97530
Practice Address - Country:US
Practice Address - Phone:541-930-2445
Practice Address - Fax:541-319-8748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty