Individual provider · Type 1 NPI
Imuya Lee Dooley McDaniel, LMT
Massage Therapist · Clackamas, OR
NPI number
1679998330
Active
Practice location
14010 SE 97th Ave
Clackamas, OR 97015-8660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 20463 (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 1679998330
Imuya Lee Dooley McDaniel, LMT's National Provider Identifier is 1679998330, issued on Mar 4, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clackamas, OR. The record was last updated on Mar 4, 2014.