Individual provider · Type 1 NPI
Constance Nemec-Logan, LMT
Massage Therapist · Coos Bay, OR
NPI number
1194536763
Active
Practice location
233 S 2nd St
Coos Bay, OR 97420-1642
Mailing address
855 12th St SW
Bandon, OR 97411-9503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 23680 (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 1194536763
Constance Nemec-Logan, LMT's National Provider Identifier is 1194536763, issued on Jan 14, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coos Bay, OR. The record was last updated on Jan 14, 2025.