Elizabeth Stam, LMT

NPI #1548733207 in Siletz, Oregon

Provider Information

NPI Number
1548733207
Entity Type
Individual
Name
Elizabeth Stam, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jan 5, 2019
Last Updated
Jan 5, 2019

Practice Location

Address
200 GWEE SHUT RD
City
Siletz
State
Oregon
ZIP Code
97380-2036
Phone
(541) 444-1030

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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