Steven Timothy Roth, LMT

NPI #1548821085 in Keizer, Oregon

Provider Information

NPI Number: 1548821085
Entity Type: Individual
Name: Steven Timothy Roth, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 25, 2019
Last Updated: Jun 25, 2019

Practice Location

Address: 3990 CHERRY AVE NE
City: Keizer
State: Oregon
ZIP Code: 97303-4888
Phone: (503) 364-9242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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