Jody Nicole Hale LMT

NPI 1356562607 - Massage Therapist - 225700000X

NPI Details
NPI 1356562607
Gender Female
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4425 SW CORBETT AVE
PORTLAND OR, 97239, US
Phone (503) 225-9033
Fax (503) 225-9039
Business Location
1815 SE SPOKANE ST
PORTLAND OR, 97202, US
Phone (503) 784-4288
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 8188
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According to our database, Ms. Jody Nicole Hale LMT NPI is 1356562607, taxonomy code is 225700000X and license number is 8188, license state is located at Oregon. Jody Nicole Hale LMT physically located at 4425 Sw Corbett Ave, Portland OR, 97239. NPI Number Jody Nicole Hale LMT has the Individual type.

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1356562607 NPI number is provided on an as is basis without warranty of any kind. 1356562607 is maintained by the National Plan & Provider Enumeration System. The contents of Jody Nicole Hale LMT are for informational purposes only.