Individual provider · Type 1 NPI

Mary Wellman, CLT, LMT

Massage Therapist · Salem, OR

NPI number 1629448675 Active

Practice location

3440 Cordon Rd NE
Salem, OR 97305-3219

Call (503) 949-2868 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15336 (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 1629448675

Mary Wellman, CLT, LMT's National Provider Identifier is 1629448675, issued on Oct 2, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salem, OR. The record was last updated on Oct 2, 2015.