Lawrence Austin Birch, LMT

NPI #1285054783 in Philomath, Oregon

Provider Information

NPI Number: 1285054783
Entity Type: Individual
Name: Lawrence Austin Birch, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 23, 2014
Last Updated: Apr 23, 2014

Practice Location

Address: 1215 MAIN STREET
Address 2: STE 106
City: Philomath
State: Oregon
ZIP Code: 97370
Phone: (541) 344-7534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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