Suzanne Marie Alexander, LMT

NPI #1710123690 in Bandon, Oregon

Provider Information

NPI Number: 1710123690
Entity Type: Individual
Name: Suzanne Marie Alexander, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 26, 2008
Last Updated: Dec 26, 2008

Practice Location

Address: 1130 BALTIMORE AVE SE
Address 2: STE C
City: Bandon
State: Oregon
ZIP Code: 97411-9136
Phone: (541) 347-9618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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