Individual provider · Type 1 NPI

David Joseph Wichman, LMT

Massage Therapist · Keizer, OR

NPI number 1649433004 Active

Practice location

4630 River Rd N
Keizer, OR 97303-4648

Fax (503) 304-2226

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27-2556 (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 1649433004

David Joseph Wichman, LMT's National Provider Identifier is 1649433004, issued on Jul 7, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Keizer, OR. The record was last updated on Jul 7, 2008.