Danielle is a Massage Therapist based in Gresham, OR. Danielle practices in Gresham, OR. The NPI Number for Danielle is 1609228238 and holds a License No. 19777 (Oregon).
The current practice location address for Danielle is 22400 Se Stark St, Gresham, OR and can be reached out via phone at 509-760-9947.
Location: 22400 Se Stark St, Gresham, OR, 97030-2656
Provider Profile Details
NPI Number
1609228238
Provider Name
Danielle
Credential
Provider Entity Type
Organization
Address
22400 Se Stark St, Gresham, OR, 97030-2656
Phone Number
509-760-9947
Fax Number
Provider Enumeration Date
07/07/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19777 | 01 | OR | OREGON BOARD OF MASSAGE THERAPISTS |
Provider Business Practice Location Address Details
Address
22400 Se Stark St
City
State
Zip
97030-2656
Phone Number
509-760-9947
Fax Number
Provider Business Mailing Address Details
Address
22400 Se Stark St
City
State
Zip
97030-2656
Phone Number
509-760-9947
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
19777 (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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