Individual provider · Type 1 NPI

Mary Theresa Nolan, LMT

Massage Therapist · Albany, OR

NPI number 1174087589 Active

Practice location

3523 Pacific Blvd SW
Albany, OR 97321-7727

Call (541) 714-3275 Map

Mailing address

6058 Carrol Pl SW
Albany, OR 97321-3639

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24873 (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 1174087589

Mary Theresa Nolan, LMT's National Provider Identifier is 1174087589, issued on Jan 30, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Albany, OR. The record was last updated on Jan 30, 2019.