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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11393 (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.