Mara Maria Spang, LMT

NPI #1508074873 in Bandon, Oregon

Provider Information

NPI Number: 1508074873
Entity Type: Individual
Name: Mara Maria Spang, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 184 11TH ST SE
City: Bandon
State: Oregon
ZIP Code: 97411-9000
Phone: (541) 290-6668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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