Mary Delta Mcconnell, LMT

NPI #1033236732 in Merlin, Oregon

Provider Information

NPI Number: 1033236732
Entity Type: Individual
Name: Mary Delta Mcconnell, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 275 NORTHWOODS DRIVE
City: Merlin
State: Oregon
ZIP Code: 97532
Phone: (541) 476-8599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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