Provider Demographics
NPI:1558257519
Name:SKAGGS, TONI ERIN I (LMT)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:ERIN
Last Name:SKAGGS
Suffix:I
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:ERIN
Other - Last Name:WYTCHERLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:225 NW 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-2055
Mailing Address - Country:US
Mailing Address - Phone:541-761-2247
Mailing Address - Fax:
Practice Address - Street 1:225 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-2055
Practice Address - Country:US
Practice Address - Phone:541-761-2247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR25414225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist