Individual provider · Type 1 NPI

Sandra NMN Maxwell, LICENSED MASSAGE THE

Massage Therapist · Eugene, OR

NPI number 1891815288 Active

Practice location

1997 W 12th Ave
Eugene, OR 97402-3521

Fax (541) 349-9581

Mailing address

PO Box 991
Lorane, OR 97451-0991

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2964 (OR)
Massage Therapist 225700000XMA 7355 (FL)

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 1891815288

Sandra NMN Maxwell, LICENSED MASSAGE THE's National Provider Identifier is 1891815288, issued on Mar 30, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eugene, OR. The record was last updated on Jul 8, 2007.