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Russell Dale Smith, LMT
Massage Therapist in Tillamook, Oregon
NPI 1477852580

Russell Dale Smith is a Massage Therapist based in Tillamook, OR. Russell Dale Smith practices in Tillamook, OR and has the professional credentials of LMT. The NPI Number for Russell Dale Smith is 1477852580 and holds a License No. 15176 (Oregon).

The current practice location address for Russell Dale Smith is 309 Elm Ave, Tillamook, OR and can be reached out via phone at 503-812-4435 and via fax at 503-842-0396.

Location: 309 Elm Ave, Tillamook, OR, 97141-3160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477852580
Provider Name
Russell Dale Smith
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
309 Elm Ave, Tillamook, OR, 97141-3160
Phone Number
503-812-4435
Fax Number
503-842-0396
Provider Enumeration Date
03/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
309 Elm Ave
City
Tillamook
State
Oregon
Zip
97141-3437
Phone Number
503-812-4435
Fax Number
503-842-0396
person
Provider Business Mailing Address Details
Address
309 Elm Ave
City
Tillamook
State
Oregon
Zip
97141-3437
Phone Number
503-812-4435
Fax Number
503-842-0396
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
15176 (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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