Individual provider · Type 1 NPI

Hollie Jean Tetreault, LMT

Massage Therapist · North Bend, OR

NPI number 1861284580 Active

Practice location

2040C Public Square Ct
North Bend, OR 97459-1259

Mailing address

1537 N Henry St
Coquille, OR 97423-1440

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25983 (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 1861284580

Hollie Jean Tetreault, LMT's National Provider Identifier is 1861284580, issued on May 19, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Bend, OR. The record was last updated on May 19, 2025.