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Active NPI 1538005293 Organization (Entity Type 2)

Longevity Llc

Massage Therapist • Grants Pass, OR

About Longevity Llc NPI 1538005293 Summary

Longevity Llc is a verified healthcare organization specializing in Massage Therapist operating in Grants Pass, OR. Located at 2863 JEROME PRAIRIE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1538005293.

Administrative operations and authorized compliance are overseen by Ashley Phaigh (Owner).

Facility Location & Contact Primary Location

Facility Address

2863 Jerome Prairie Rd

Grants Pass, OR 975279156

Telephone 5416602791

Authorized Official Information

Authorized Contact Name

Ashley Phaigh , LMT

Title / Role

Owner

Official Telephone

5416602791

Facility Classifications & Specialties

Massage Therapist Primary Taxonomy

NUCC Taxonomy Code: 225700000X

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active April 27, 2026

NPI status registered as active in NPPES database

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Updated Practice Location April 27, 2026

Registered at 2863 JEROME PRAIRIE RD, GRANTS PASS, OR 975279156 (Tel: 5416602791)

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Updated Business Mailing Address April 27, 2026

Registered at PO BOX 653, MURPHY, OR 975330653

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Organization / Clinic Name Updated April 27, 2026

Operating as LONGEVITY LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2026

Massage Therapist

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Initial NPI Registration & Enumeration April 27, 2026

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1538005293
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 27, 2026
Last Update: April 27, 2026

Mailing Address

Po Box 653

Murphy, OR 975330653

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.