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Mrs. Lisa Ann Callery Koontz, RN,LMT
Massage Therapist in Salem, Oregon
NPI 1518667153

Lisa Ann Callery Koontz is a Massage Therapist based in Salem, OR. Lisa Ann Callery Koontz practices in Salem, OR and has the professional credentials of RN,LMT. The NPI Number for Lisa Ann Callery Koontz is 1518667153 and holds a License No. 096007075RN (Oregon).

The current practice location address for Lisa Ann Callery Koontz is 3521 Mud Puppy Ln Se, Salem, OR and can be reached out via phone at 503-871-7717.

Location: 3521 Mud Puppy Ln Se, Salem, OR, 97317-9434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518667153
Provider Name
Lisa Ann Callery Koontz
Credential
RN,LMT
Provider Entity Type
Individual
Gender
Female
Address
3521 Mud Puppy Ln Se, Salem, OR, 97317-9434
Phone Number
503-871-7717
Fax Number
Provider Enumeration Date
03/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3521 Mud Puppy Ln Se
City
Salem
State
Oregon
Zip
97317-9434
Phone Number
503-871-7717
Fax Number
person
Provider Business Mailing Address Details
Address
3521 Mud Puppy Ln Se
City
Salem
State
Oregon
Zip
97317-9434
Phone Number
503-871-7717
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
13994 (Oregon)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
096007075RN (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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