Provider Demographics
NPI:1104527753
Name:ANNA STAR METZ LLC
Entity type:Organization
Organization Name:ANNA STAR METZ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LMT
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:STAR
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:541-507-7668
Mailing Address - Street 1:859 LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-4279
Mailing Address - Country:US
Mailing Address - Phone:541-507-7668
Mailing Address - Fax:
Practice Address - Street 1:120 SHELTON MCMURPHEY BLVD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8700
Practice Address - Country:US
Practice Address - Phone:541-507-7668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty