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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2964 (OR) |
| Massage Therapist | 225700000X | MA 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.