ANN MARIE SOUTHEY BUTLER LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1982139648- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 2311 E. BURNSIDE ST, PORTLAND, OR, 97214
- Phone
- (503) 208-8843
Specialties & Taxonomies
Physical Therapy Assistant
License: OR #09411
Massage Therapist
Primary License: OR #17700