Grace Carole Herring, LMT

NPI #1174348015 in Phoenix, Oregon

Provider Information

NPI Number: 1174348015
Entity Type: Individual
Name: Grace Carole Herring, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 16, 2024
Last Updated: Nov 16, 2024

Practice Location

Address: 1404 CAMP BAKER RD
City: Phoenix
State: Oregon
ZIP Code: 97535-9604
Phone: (575) 644-1812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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