Elisa Brockway, LMT
NPI #1164040333 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1164040333
- Entity Type
- Individual
- Name
- Elisa Brockway, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Jul 14, 2020
- Last Updated
- Jul 14, 2020
Practice Location
- Address
- 530 1ST ST STE B2
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97034-3248
- Phone
- (971) 344-4223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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