Terise Jane Manich, LMT LICENSED MASSAGE

NPI #1548456270 in Talent, Oregon

Provider Information

NPI Number
1548456270
Entity Type
Individual
Name
Terise Jane Manich, LMT LICENSED MASSAGE
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT LICENSED MASSAGE
Enumeration Date
Sep 17, 2007
Last Updated
Sep 17, 2007

Practice Location

Address
251 ST IVES DR
City
Talent
State
Oregon
ZIP Code
97540
Phone
(541) 535-7677

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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