IndividualActive
Mckenzie Millette, LMT
NPI 1740750991 · Massage Therapist · Grants Pass, OR
Provider details
- NPI number
- 1740750991
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 24552 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Sw H St # 8
Grants Pass, OR 97526-2505
Phone: (541) 441-5890
Fax: (541) 787-6009
Street-level locationGet directions
Mailing address
1251 Walker Rd
Grants Pass, OR 97527-5149
Registry dates
- Enumerated
- 2018-11-30
- Last updated
- 2018-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.