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Beeara Edmonds, LMT
Massage Therapist in Corvallis, Oregon
NPI 1619103991

Beeara Edmonds is a Massage Therapist based in Corvallis, OR. Beeara Edmonds practices in Corvallis, OR and has the professional credentials of LMT. The NPI Number for Beeara Edmonds is 1619103991 and holds a License No. 11734 (Oregon).

The current practice location address for Beeara Edmonds is 2017 Se Stone St, Corvallis, OR and can be reached out via phone at 541-752-1997. You can also correspond with Beeara Edmonds through the mailing address at 2017 SE STONE ST, CORVALLIS, OR - 97333-1830 (mailing address contact number: 541-752-1997).

Location: 2017 Se Stone St, Corvallis, OR, 97333-1830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619103991
Provider Name
Beeara Edmonds
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2017 Se Stone St, Corvallis, OR, 97333-1830
Phone Number
541-752-1997
Fax Number
Provider Enumeration Date
06/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 OR TIN 93-0932697
institution
Provider Business Practice Location Address Details
Address
2017 Se Stone St
City
Corvallis
State
Oregon
Zip
97333-1830
Phone Number
541-752-1997
Fax Number
person
Provider Business Mailing Address Details
Address
2017 Se Stone St
City
Corvallis
State
Oregon
Zip
97333-1830
Phone Number
541-752-1997
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11734 (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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