MRS. Tessara Dyan Bennett, L.M.T.

NPI #1104035104 in Hillsboro, Oregon

Provider Information

NPI Number: 1104035104
Entity Type: Individual
Name: MRS. Tessara Dyan Bennett, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: May 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2830 NW OVERLOOK DR APT 2238
City: Hillsboro
State: Oregon
ZIP Code: 97124-7670
Phone: (503) 984-3465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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