IndividualActive
Jeffrey Staab, LMT
NPI 1083252746 · Massage Therapist · Cave Junction, OR
Provider details
- NPI number
- 1083252746
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22764 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
122 S Redwood Hwy
Cave Junction, OR 97523-9054
Phone: (541) 415-0469
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2221
Cave Junction, OR 97523-2221
Additional practice locations (1)
- 530 Ne E StGrants Pass, OR 97526-2326Phone: (541) 415-0469
Registry dates
- Enumerated
- 2019-12-12
- Last updated
- 2019-12-12
- Certified
- 2019-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.