Individual provider · Type 1 NPI

Mallory Ann Edwards, LMT

Massage Therapist · Salem, OR

NPI number 1225592850 Active

Practice location

223 Madrona Ave SE
Salem, OR 97302-4609

Call (503) 877-3529 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11943 (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 1225592850

Mallory Ann Edwards, LMT's National Provider Identifier is 1225592850, issued on Jan 28, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salem, OR. The record was last updated on Jan 28, 2019.