Individual provider · Type 1 NPI

Maria Van Gool Hannibal, LMT

Massage Therapist · Eugene, OR

NPI number 1407075906 Active

Practice location

610 W 26th Ave
Eugene, OR 97405-2530

Call (541) 729-2590 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11491 (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 1407075906

Maria Van Gool Hannibal, LMT's National Provider Identifier is 1407075906, issued on Apr 24, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eugene, OR. The record was last updated on Jul 8, 2007.