MRS. Mylisa Anne Ervin, LMT

NPI #1104049246 in Hood River, Oregon

Provider Information

NPI Number
1104049246
Entity Type
Individual
Name
MRS. Mylisa Anne Ervin, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Mechanotherapist
Credential
LMT
Enumeration Date
Apr 10, 2007
Last Updated
Aug 30, 2007

Practice Location

Address
836 ADAMS LOOP
State
Oregon
ZIP Code
97031-9743
Phone
(503) 319-4785

Specialties & Taxonomy Codes

Specialty
Mechanotherapist

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