Individual provider · Type 1 NPI
Kelly Faye Lewis, LMT
Massage Therapist · Mcminnville, OR
NPI number
1962735696
Active
Practice location
707 E 5th St
Mcminnville, OR 97128-4508
Mailing address
14805 SE Foster Rd
Dayton, OR 97114-7426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 15441 (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.
3 other providers at this address
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About NPI 1962735696
Kelly Faye Lewis, LMT's National Provider Identifier is 1962735696, issued on Sep 14, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mcminnville, OR. The record was last updated on Sep 14, 2009.