Individual provider · Type 1 NPI
Devery Gerard Broddie, LMT
Massage Therapist · Hood River, OR
NPI number
1972649903
Active
Practice location
315 Oak St. Ste 200
Hood River, OR 97031
Fax (541) 386-0029
Mailing address
315 Oak St, Ste 200
Hood River, OR 97031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Adult Companion | 372600000X | None listed |
| Massage Therapist Primary | 225700000X | 7291 (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 1972649903
Devery Gerard Broddie, LMT's National Provider Identifier is 1972649903, issued on Jan 29, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hood River, OR. The record was last updated on Aug 31, 2020.