Individual provider · Type 1 NPI

Tracy B. Jolivette, LMT

Massage Therapist · Salem, OR

NPI number 1538533807 Active

Practice location

300 Glen Creek Rd NW
Salem, OR 97304-3058

Call (503) 999-8627 Map

Mailing address

1875 Golf Course Rd S
Salem, OR 97302-9622

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20446 (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 1538533807

Tracy B. Jolivette, LMT's National Provider Identifier is 1538533807, issued on Nov 24, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salem, OR. The record was last updated on Nov 24, 2015.