Individual provider · Type 1 NPI

Jessica Suderman, LMT

Massage Therapist · Salem, OR

NPI number 1396174546 Active

Practice location

1880 Lancaster Dr NE
Salem, OR 97305-1089

Call (503) 589-0700 Map

Fax (503) 586-0255

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20170 (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 1396174546

Jessica Suderman, LMT's National Provider Identifier is 1396174546, issued on Nov 8, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salem, OR. The record was last updated on Nov 8, 2013.