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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 25983 (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.