Tai Marie Jaques, LMT

NPI #1285171173 in Enterprise, Oregon

Provider Information

NPI Number: 1285171173
Entity Type: Individual
Name: Tai Marie Jaques, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 30, 2017
Last Updated: Jan 30, 2017

Practice Location

Address: 507 S RIVER ST
City: Enterprise
State: Oregon
ZIP Code: 97828-1601
Phone: (541) 426-4502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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