Theresa Donavant-Butler, LMT9185

NPI #1154713295 in Woodburn, Oregon

Provider Information

NPI Number: 1154713295
Entity Type: Individual
Name: Theresa Donavant-Butler, LMT9185
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT9185
Enumeration Date: Feb 26, 2015
Last Updated: Feb 26, 2015

Practice Location

Address: 564 GLATT CIRCLE
City: Woodburn
State: Oregon
ZIP Code: 97071
Phone: (503) 250-0127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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