Grande Ronde Therapeutic Massage

NPI #1669687729 in La Grande, Oregon

Provider Information

NPI Number
1669687729
Entity Type
Organization
Organization Name
Grande Ronde Therapeutic Massage
Primary Specialty
Massage Therapist
Enumeration Date
May 11, 2007
Last Updated
Jul 23, 2008

Practice Location

Address
1609 ALBANY ST
Address 2
#10
State
Oregon
ZIP Code
97850
Phone
(541) 963-4764

Authorized Official

Name
MS. PEGGY LYNN LITTLE, LMT
Title
OWNER LICENSED MASSAG THERAPIST
Phone
(541) 963-4764

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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