Provider Demographics
NPI:1851533376
Name:DENNY, BELINDA ANN (LMT)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:ANN
Last Name:DENNY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:ANN
Other - Last Name:SPALDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:3190 STATE STREET
Mailing Address - Street 2:101
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504
Mailing Address - Country:US
Mailing Address - Phone:541-248-9701
Mailing Address - Fax:541-772-4228
Practice Address - Street 1:3190 STATE ST
Practice Address - Street 2:101
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8497
Practice Address - Country:US
Practice Address - Phone:541-248-9701
Practice Address - Fax:541-772-4228
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13345225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR13345OtherSTATE LIC #