Justin Wycoff, LMT

NPI #1376993907 in Portland, Oregon

Provider Information

NPI Number: 1376993907
Entity Type: Individual
Name: Justin Wycoff, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 14, 2016
Last Updated: Jun 14, 2016

Practice Location

Address: 6030 SE DIVISION ST
City: Portland
State: Oregon
ZIP Code: 97206-1346
Phone: (503) 772-1215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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