person
Mr. Robert Richard Ellestad, LMT
Massage Therapist in Salem, Oregon
NPI 1174762520

Robert Richard Ellestad is a Massage Therapist based in Independence, OR. Robert Richard Ellestad practices in Salem, OR and has the professional credentials of LMT. The NPI Number for Robert Richard Ellestad is 1174762520 and holds a License No. 14560 (Oregon).

The current practice location address for Robert Richard Ellestad is 300 Glen Creek Rd Nw, Salem, OR and can be reached out via phone at 503-507-2730.

Location: 300 Glen Creek Rd Nw, Salem, OR, 97351-1538
person
Provider Profile Details
NPI Number
1174762520
Provider Name
Robert Richard Ellestad
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
300 Glen Creek Rd Nw, Salem, OR, 97351-1538
Phone Number
503-507-2730
Fax Number
Provider Enumeration Date
02/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Glen Creek Rd Nw
City
State
Zip
97304-3058
Phone Number
503-507-2730
Fax Number
person
Provider Business Mailing Address Details
Address
300 Glen Creek Rd Nw
City
State
Zip
97304-3058
Phone Number
503-507-2730
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
14560 (Oregon)
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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