Carol R Mathre, LMT

NPI #1053646307 in Astoria, Oregon

Provider Information

NPI Number: 1053646307
Entity Type: Individual
Name: Carol R Mathre, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 5, 2009
Last Updated: Oct 5, 2009

Practice Location

Address: 1154 COMMERCIAL ST
City: Astoria
State: Oregon
ZIP Code: 97103-4126
Phone: (503) 440-3664

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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