Mrs. MICHELLE MARIE BENNETT LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1205385879- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 3689 CARMAN DR STE 300, LAKE OSWEGO, OR, 970352620
- Phone
- (503) 515-5579
- Fax
- (503) 697-7810
Specialties & Taxonomies
Massage Therapist
Primary License: OR #21023