Individual provider · Type 1 NPI

Theresa Donavant-Butler, LMT9185

Massage Therapist · Woodburn, OR

NPI number 1154713295 Active

Practice location

564 Glatt Circle
Woodburn, OR 97071

Call (503) 250-0127 Map

Mailing address

PO Box 1112
Woodburn, OR 97071-1112

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9185 (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 1154713295

Theresa Donavant-Butler, LMT9185's National Provider Identifier is 1154713295, issued on Feb 26, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Woodburn, OR. The record was last updated on Feb 26, 2015.