Baylee Melcine Boustead, LMT

NPI #1093348708 in Newberg, Oregon

Provider Information

NPI Number: 1093348708
Entity Type: Individual
Name: Baylee Melcine Boustead, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 20, 2020
Last Updated: Feb 20, 2020

Practice Location

Address: 114 E HANCOCK ST
City: Newberg
State: Oregon
ZIP Code: 97132-2822
Phone: (503) 554-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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