Individual provider · Type 1 NPI

Connie Broadway, L.M.T., CA

Massage Therapist · Coos Bay, OR

NPI number 1184040420 Active

Practice location

585 S 7th St
Coos Bay, OR 97420-1301

Call (541) 266-7543 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16018 (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 1184040420

Connie Broadway, L.M.T., CA's National Provider Identifier is 1184040420, issued on Mar 11, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coos Bay, OR. The record was last updated on Mar 11, 2014.