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Suzanne Bonnen, LMT16652
Massage Therapist in Corvallis, Oregon
NPI 1366988032

Suzanne Bonnen is a Massage Therapist based in Corvallis, OR. Suzanne Bonnen practices in Corvallis, OR and has the professional credentials of LMT16652. The NPI Number for Suzanne Bonnen is 1366988032 and holds a License No. 16652 (Oregon).

The current practice location address for Suzanne Bonnen is 564 Sw 3Rd St, Corvallis, OR and can be reached out via phone at 541-602-9577.

Location: 564 Sw 3Rd St, Corvallis, OR, 97330-1948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366988032
Provider Name
Suzanne Bonnen
Credential
LMT16652
Provider Entity Type
Individual
Gender
Female
Address
564 Sw 3Rd St, Corvallis, OR, 97330-1948
Phone Number
541-602-9577
Fax Number
Provider Enumeration Date
01/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16652 01 OR OREGON BOARD OF MASSAGE
institution
Provider Business Practice Location Address Details
Address
564 Sw 3Rd St
City
Corvallis
State
Oregon
Zip
97333-4439
Phone Number
541-602-9577
Fax Number
person
Provider Business Mailing Address Details
Address
564 Sw 3Rd St
City
Corvallis
State
Oregon
Zip
97333-4439
Phone Number
541-602-9577
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
16652 (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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