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Amanda Caroll Hueller
Massage Therapist in Lyons, Oregon
NPI 1437659893

Amanda Caroll Hueller is a Massage Therapist based in Lyons, OR. Amanda Caroll Hueller practices in Lyons, OR. The NPI Number for Amanda Caroll Hueller is 1437659893 and holds a License No. 7441 (Oregon).

The current practice location address for Amanda Caroll Hueller is 23955 N Fork Rd Se, Lyons, OR and can be reached out via phone at 503-510-6723.

Location: 23955 N Fork Rd Se, Lyons, OR, 97358-9703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437659893
Provider Name
Amanda Caroll Hueller
Credential
Provider Entity Type
Individual
Gender
Female
Address
23955 N Fork Rd Se, Lyons, OR, 97358-9703
Phone Number
503-510-6723
Fax Number
Provider Enumeration Date
02/12/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7441 01 OR MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
23955 N Fork Rd Se
City
Lyons
State
Oregon
Zip
97358-9703
Phone Number
503-510-6723
Fax Number
person
Provider Business Mailing Address Details
Address
23955 N Fork Rd Se
City
Lyons
State
Oregon
Zip
97358-9703
Phone Number
503-510-6723
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7441 (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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