Willamette Therapeutic Massage, LLC

NPI #1194122754 in Corvallis, Oregon

Provider Information

NPI Number: 1194122754
Entity Type: Organization
Organization Name: Willamette Therapeutic Massage, LLC
Primary Specialty: Massage Therapist
Enumeration Date: Nov 26, 2014
Last Updated: Nov 26, 2014

Practice Location

Address: 442 NW 3RD ST
City: Corvallis
State: Oregon
ZIP Code: 97330-6403
Phone: (541) 738-7653

Authorized Official

Name: MR. DONALD BUTZNER, LMT
Title: MEMBER
Phone: (541) 738-7653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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