Provider Demographics
NPI:1871821157
Name:MENKEE, AURORA DAWN (LMT)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:DAWN
Last Name:MENKEE
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 1:310 MURPHY LN
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97527-9410
Mailing Address - Country:US
Mailing Address - Phone:503-847-5418
Mailing Address - Fax:
Practice Address - Street 1:310 MURPHY LN
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-9410
Practice Address - Country:US
Practice Address - Phone:503-847-5418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15362225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist