Individual provider · Type 1 NPI

Suzanne Marie Alexander, LMT

Massage Therapist · Bandon, OR

NPI number 1710123690 Active

Practice location

1130 Baltimore Ave SE, Ste C
Bandon, OR 97411-9136

Mailing address

PO Box 401
Bandon, OR 97411-0401

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1505 (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 1710123690

Suzanne Marie Alexander, LMT's National Provider Identifier is 1710123690, issued on Dec 26, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bandon, OR. The record was last updated on Dec 26, 2008.