Individual provider · Type 1 NPI

Theresa Long, LMT

Massage Therapist · Lincoln City, OR

NPI number 1194070144 Active

About NPI 1194070144

Theresa Long, LMT's National Provider Identifier is 1194070144, issued on Jul 16, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lincoln City, OR. The record was last updated on Jul 16, 2012.