Beth W. Mantis, LMT

NPI #1992056857 in Eagle Creek, Oregon

Provider Information

NPI Number
1992056857
Entity Type
Individual
Name
Beth W. Mantis, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Credential
LMT
Enumeration Date
Oct 1, 2012
Last Updated
Oct 1, 2012

Practice Location

Address
29544 SE HEIPLE RD
State
Oregon
ZIP Code
97022-9664
Phone
(503) 887-6070

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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Organizations

Provider Name
Western Reserve Rehab Group LLC

Part of Western Reserve Rehab Group LLC

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