Individual provider · Type 1 NPI

Tyra Mae Potter, LMT

Massage Therapist · Eugene, OR

NPI number 1912762576 Active

Practice location

591 W 19th Ave
Eugene, OR 97401-3827

Call (541) 243-7697 Map

Mailing address

1877 Emerald St Apt 11
Eugene, OR 97403-1460

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27679 (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 1912762576

Tyra Mae Potter, LMT's National Provider Identifier is 1912762576, issued on Feb 13, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eugene, OR. The record was last updated on Feb 13, 2024.