IndividualActive
Abigail Southgate, LMT
NPI 1942981329 · Massage Therapist · Medford, OR
Provider details
- NPI number
- 1942981329
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 15967 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3132 State St
Medford, OR 97504-8688
Phone: (541) 324-6584
Approximate (ZIP-level) locationGet directions
Mailing address
3132 State St
Medford, OR 97504-8688
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.