MR. David Joseph Wichman, LMT

NPI #1649433004 in Keizer, Oregon

Provider Information

NPI Number: 1649433004
Entity Type: Individual
Name: MR. David Joseph Wichman, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 7, 2008
Last Updated: Jul 7, 2008

Practice Location

Address: 4630 RIVER RD N
City: Keizer
State: Oregon
ZIP Code: 97303-4648
Phone: (503) 393-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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