Individual provider · Type 1 NPI

Mara Maria Spang, LMT

Massage Therapist · Bandon, OR

NPI number 1508074873 Active

Practice location

184 11th St SE
Bandon, OR 97411-9000

Call (541) 290-6668 Map

Mailing address

PO Box 1164
Bandon, OR 97411-1164

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4075 (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 1508074873

Mara Maria Spang, LMT's National Provider Identifier is 1508074873, issued on May 19, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bandon, OR. The record was last updated on Jul 8, 2007.