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Delisa Van Dyke, LMT
Massage Therapist in Dundee, Oregon
NPI 1174924021

Delisa Van Dyke is a Massage Therapist based in Dundee, OR. Delisa Van Dyke practices in Dundee, OR and has the professional credentials of LMT. The NPI Number for Delisa Van Dyke is 1174924021 and holds a License No. 17096 (Oregon).

The current practice location address for Delisa Van Dyke is 940 Se Locust St, Dundee, OR and can be reached out via phone at 503-915-6022.

Location: 940 Se Locust St, Dundee, OR, 97115-9630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174924021
Provider Name
Delisa Van Dyke
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
940 Se Locust St, Dundee, OR, 97115-9630
Phone Number
503-915-6022
Fax Number
Provider Enumeration Date
09/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
940 Se Locust St
City
Dundee
State
Oregon
Zip
97115-9630
Phone Number
503-915-6022
Fax Number
person
Provider Business Mailing Address Details
Address
940 Se Locust St
City
Dundee
State
Oregon
Zip
97115-9630
Phone Number
503-915-6022
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
17096 (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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