Individual provider · Type 1 NPI

Maria Elizabeth Forty, LMT

Massage Therapist · Coos Bay, OR

NPI number 1386939411 Active

Practice location

455 S 4th St, Suite #7
Coos Bay, OR 97420-1546

Call (541) 253-6216 Map

Mailing address

PO Box 924
Bandon, OR 97411-0924

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16171 (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 1386939411

Maria Elizabeth Forty, LMT's National Provider Identifier is 1386939411, issued on Jun 16, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coos Bay, OR. The record was last updated on Jun 16, 2011.