Massage Envy

NPI #1205969391 in Keizer, Oregon

Provider Information

NPI Number: 1205969391
Entity Type: Organization
Organization Name: Massage Envy
Primary Specialty: Massage Therapist
Enumeration Date: Mar 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6395 KEIZER STATION BLVD #103
City: Keizer
State: Oregon
ZIP Code: 97303-0000
Phone: (503) 589-1597

Authorized Official

Name: STEPHANIE RENE LAWRENCE, LMT
Title: LICENSED MASSAGE THERAPY
Phone: (503) 589-1597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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