Individual provider · Type 1 NPI

Mary Kay Weikel, LMT

Massage Therapist · North Bend, OR

NPI number 1295045052 Active

Practice location

3229 Broadway St Suite G Serenity Therapy Center
North Bend, OR 97459

Call (541) 751-7979 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16629 (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 1295045052

Mary Kay Weikel, LMT's National Provider Identifier is 1295045052, issued on Oct 14, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Bend, OR. The record was last updated on Oct 14, 2010.