Lyle Dettloff is a Massage Therapist based in Portland, OR. Lyle Dettloff practices in Portland, OR. The NPI Number for Lyle Dettloff is 1154985208 and holds a License No. (Oregon).
The current practice location address for Lyle Dettloff is 728 Ne Dekum St, Portland, OR and can be reached out via phone at 503-568-1906.
Location: 728 Ne Dekum St, Portland, OR, 97211-3628
Provider Profile Details
NPI Number
1154985208
Provider Name
Lyle Dettloff
Credential
Provider Entity Type
Individual
Gender
Male
Address
728 Ne Dekum St, Portland, OR, 97211-3628
Phone Number
503-568-1906
Fax Number
Provider Enumeration Date
04/24/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
728 Ne Dekum St
City
State
Zip
97211-3628
Phone Number
503-568-1906
Fax Number
Provider Business Mailing Address Details
Address
728 Ne Dekum St
City
State
Zip
97211-3628
Phone Number
503-568-1906
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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