Individual provider · Type 1 NPI
Beth W. Mantis, LMT
Rehabilitation Practitioner · Eagle Creek, OR
NPI number
1992056857
Active
Practice location
29544 SE Heiple Rd
Eagle Creek, OR 97022-9664
Fax (503) 630-2860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | 18018 (OR) |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
About NPI 1992056857
Beth W. Mantis, LMT's National Provider Identifier is 1992056857, issued on Oct 1, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Eagle Creek, OR. The record was last updated on Oct 1, 2012.