Individual provider · Type 1 NPI

Devon Marie Bruckner, LMT

Massage Therapist · Dallas, OR

NPI number 1346724283 Active

Practice location

289 E Ellendale Ave Ste 101
Dallas, OR 97338-1500

Call (503) 623-9676 Map

Mailing address

1300 NW Adams St. Unit C
Mcminnville, OR 97128

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22789 (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 1346724283

Devon Marie Bruckner, LMT's National Provider Identifier is 1346724283, issued on Sep 17, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dallas, OR. The record was last updated on Sep 25, 2019.