Individual provider · Type 1 NPI

Andrea Mae Trader, LMT

Massage Therapist · Springfield, OR

NPI number 1457609307 Active

Practice location

384 Q St
Springfield, OR 97477-2140

Call (541) 514-4819 Map

Mailing address

PO Box 5178
Eugene, OR 97405-0178

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Massage Therapist Primary 225700000X23639 (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 1457609307

Andrea Mae Trader, LMT's National Provider Identifier is 1457609307, issued on Aug 27, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Springfield, OR. The record was last updated on Jan 20, 2022.