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Elizabeth Stam, LMT
Massage Therapist in Siletz, Oregon
NPI 1548733207

Elizabeth Stam is a Massage Therapist based in Siletz, OR. Elizabeth Stam practices in Siletz, OR and has the professional credentials of LMT. The NPI Number for Elizabeth Stam is 1548733207 and holds a License No. 21791 (Oregon).

The current practice location address for Elizabeth Stam is 200 Gwee Shut Rd, Siletz, OR and can be reached out via phone at 541-444-1030.

Location: 200 Gwee Shut Rd, Siletz, OR, 97380-0320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548733207
Provider Name
Elizabeth Stam
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
200 Gwee Shut Rd, Siletz, OR, 97380-0320
Phone Number
541-444-1030
Fax Number
Provider Enumeration Date
01/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Gwee Shut Rd
City
Siletz
State
Oregon
Zip
97380-2036
Phone Number
541-444-1030
Fax Number
person
Provider Business Mailing Address Details
Address
200 Gwee Shut Rd
City
Siletz
State
Oregon
Zip
97380-2036
Phone Number
541-444-1030
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
21791 (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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