MRS. Devon Marie Bruckner, LMT

NPI #1346724283 in Dallas, Oregon

Provider Information

NPI Number: 1346724283
Entity Type: Individual
Name: MRS. Devon Marie Bruckner, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 17, 2018
Last Updated: Sep 25, 2019

Practice Location

Address: 289 E ELLENDALE AVE STE 101
City: Dallas
State: Oregon
ZIP Code: 97338-1500
Phone: (503) 623-9676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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