Individual provider · Type 1 NPI
Mandie Beirdneau, LMT
Massage Therapist · Beaverton, OR
NPI number
1245772847
Active
Practice location
18682 SW Bryant St
Beaverton, OR 97003-4462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 19665 (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 1245772847
Mandie Beirdneau, LMT's National Provider Identifier is 1245772847, issued on Nov 14, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Nov 14, 2016.