MS. SUSANNAH JANE ELDER L.M.T., NCBTMB
NPI 1518039890
Specialist in Medford, OR

Active since November 14, 2006
832 E MAIN ST, STE. 6, MEDFORD, OR 97504(541) 772-5939(541) 770-5939 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Susannah Jane Elder L.m.t., Ncbtmb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSANNAH JANE ELDER L.M.T., NCBTMB (NPI 1518039890) is an individual specialist in Medford, Oregon, licensed in Oregon (10482) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1518039890
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. SUSANNAH JANE ELDERCredential: L.M.T., NCBTMB
Location Address832 E MAIN ST, STE. 6Medford, OR 97504-7153
Mailing Address832 E Main St, Ste. 6Medford, OR 97504-7153 · (541) 772-5939 · Fax (541) 770-5939
Fax(541) 770-5939
Sole ProprietorYes
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1518039890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · 10482
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
832 E MAIN ST, Medford, OR 97504

Other Identifiers 1

Other10482OR · Board Of Massage License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
832 E MAIN ST
MEDFORD, OR 97504
Radiologic Technologist (Sonography)
832 E MAIN ST, SUITE 4
MEDFORD, OR 97504
Behavior Analyst
832 E MAIN ST
MEDFORD, OR 97504
Acupuncturist
832 E MAIN ST, SUITE 3
MEDFORD, OR 97504
Dentist
832 E MAIN ST, STE. 10
MEDFORD, OR 97504
Massage Therapist
832 E MAIN ST, 5
MEDFORD, OR 97504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susannah Elder's NPI number?

The NPI number for Susannah Elder is 1518039890. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Susannah Elder located?

Susannah Elder practices at 832 E Main St Ste. 6, Medford, OR 97504. The listed phone number is (541) 772-5939.

What is Susannah Elder's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Susannah Elder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.