Individual provider · Type 1 NPI

Constance Jo Ervin, LMT

Massage Therapist · Dallas, OR

NPI number 1780006361 Active

Practice location

289 E Ellendale Ave, Suite 102
Dallas, OR 97338-1580

Call (503) 623-5505 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17273 (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 1780006361

Constance Jo Ervin, LMT's National Provider Identifier is 1780006361, issued on Jan 15, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dallas, OR. The record was last updated on Jan 15, 2014.