Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mizuko Takamoto

Individual provider Massage Therapist · NPI 1043962780

Mizuko Takamoto is a Massage Therapist in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

3200 Juanipero Way
Medford, OR 97504-8580
Phone: (541) 816-4131
Fax: (458) 226-2163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 26563 (OR)

Record details

NPI number1043962780
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 24, 2022
Last updated in NPPESSeptember 14, 2023
Certification dateMarch 16, 2022
Mailing addressPo Box 12096, Des Moines, IA 50312-9402

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