Individual provider · Type 1 NPI

Mitch Long, LMT

Massage Therapist · Corvallis, OR

NPI number 1255887147 Active

Practice location

320 SW 2nd St
Corvallis, OR 97333-4632

Call (541) 602-2289 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22284 (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 1255887147

Mitch Long, LMT's National Provider Identifier is 1255887147, issued on Aug 30, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Corvallis, OR. The record was last updated on Aug 30, 2016.