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Connie Broadway, LMT,CA
Massage Therapist in Coos Bay, Oregon
NPI 1184040420

Connie Broadway is a Massage Therapist based in Coos Bay, OR. Connie Broadway practices in Coos Bay, OR and has the professional credentials of LMT,CA. The NPI Number for Connie Broadway is 1184040420 and holds a License No. 16018 (Oregon).

The current practice location address for Connie Broadway is 585 S 7Th St, Coos Bay, OR and can be reached out via phone at 541-266-7543. You can also correspond with Connie Broadway through the mailing address at 585 S 7TH ST, COOS BAY, OR - 97420-1301 (mailing address contact number: 541-266-7543).

Location: 585 S 7Th St, Coos Bay, OR, 97420-1301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184040420
Provider Name
Connie Broadway
Credential
LMT,CA
Provider Entity Type
Individual
Gender
Female
Address
585 S 7Th St, Coos Bay, OR, 97420-1301
Phone Number
541-266-7543
Fax Number
Provider Enumeration Date
03/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
585 S 7Th St
City
Coos Bay
State
Oregon
Zip
97420-1301
Phone Number
541-266-7543
Fax Number
person
Provider Business Mailing Address Details
Address
585 S 7Th St
City
Coos Bay
State
Oregon
Zip
97420-1301
Phone Number
541-266-7543
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
16018 (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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