Michael Frederick, LMT

NPI #1437976743 in Brookings, Oregon

Provider Information

NPI Number: 1437976743
Entity Type: Individual
Name: Michael Frederick, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 26, 2024
Last Updated: Sep 26, 2024

Practice Location

Address: 16883 YELLOWBRICK RD
City: Brookings
State: Oregon
ZIP Code: 97415-9272
Phone: (541) 661-5347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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