DANIELLE
Organization (NPI-2)
Active
Massage Therapist
Provider Information
- NPI Number
1609228238- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 22400 SE STARK ST, GRESHAM, OR, 970302656
- Phone
- (509) 760-9947
Specialties & Taxonomies
Massage Therapist
Primary License: OR #19777
All Addresses
MAILING
22400 SE STARK ST
GRESHAM, OR, 970302656