Theresa Long, LMT

NPI #1194070144 in Lincoln City, Oregon

Provider Information

NPI Number: 1194070144
Entity Type: Individual
Name: Theresa Long, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 16, 2012
Last Updated: Jul 16, 2012

Practice Location

Address: 820 SE HIGHWAY 101 STE A3
City: Lincoln City
State: Oregon
ZIP Code: 97367-2768
Phone: (541) 513-7387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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