Individual provider · Type 1 NPI

Teretha Lee Martinez, RN, LMT

Massage Therapist · Jacksonville, OR

NPI number 1104950484 Active

Practice location

230 North Blackstone Alley
Jacksonville, OR 97530-0174

Mailing address

PO Box 174, 230 Blackstone Alley
Jacksonville, OR 97530-0174

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11393 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1104950484

Teretha Lee Martinez, RN, LMT's National Provider Identifier is 1104950484, issued on Mar 16, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, OR. The record was last updated on Jul 8, 2007.