Individual provider · Type 1 NPI

Mira Brockelman

Massage Therapist · Talent, OR

NPI number 1962048579 Active

Practice location

204 S 1st St
Talent, OR 97540-7002

Call (971) 275-2854 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1962048579

Mira Brockelman's National Provider Identifier is 1962048579, issued on Nov 19, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Talent, OR. The record was last updated on Nov 19, 2019.