Brandin Michelle Thibodeaux, L.M.T.

NPI #1871511576 in Newberg, Oregon

Provider Information

NPI Number: 1871511576
Entity Type: Individual
Name: Brandin Michelle Thibodeaux, L.M.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Jul 18, 2006
Last Updated: Sep 30, 2011

Practice Location

Address: 21974 NE HIGHWAY 240
City: Newberg
State: Oregon
ZIP Code: 97132-6859
Phone: (503) 550-5083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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