Most Relevant Information
Provider Data
| NPI Number: | 1003512492 |
| Provider Name: | ELIZABETH ROSE BRIGGS LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 26748 |
Most Important Dates
| Enumeration Date: | 02/07/2023 |
| Last Updated: | 02/07/2023 |
Provider Practice Location
75535 BLUE MOUNTAIN LN
COTTAGE GROVE
OR
974249481
Practice Location Phone/Fax
| Phone: | 5412210413 |
| Fax: |
Provider Mailing Location
75535 BLUE MOUNTAIN LN
COTTAGE GROVE
OR
974249481
Provider Mailing Phone/Fax
| Phone: | 5412210413 |
| Fax: |