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Ellen Crownover, LMT
Massage Therapist in Redmond, Oregon
NPI 1821516014

Ellen Crownover is a Massage Therapist based in Redmond, OR. Ellen Crownover practices in Redmond, OR and has the professional credentials of LMT. The NPI Number for Ellen Crownover is 1821516014 and holds a License No. 23342 (Oregon).

The current practice location address for Ellen Crownover is 2593 Sw 27Th St, Redmond, OR and can be reached out via phone at 541-699-8679.

Location: 2593 Sw 27Th St, Redmond, OR, 97756-8125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821516014
Provider Name
Ellen Crownover
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2593 Sw 27Th St, Redmond, OR, 97756-8125
Phone Number
541-699-8679
Fax Number
Provider Enumeration Date
09/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23342 01 OR STATE LICENSE # 23342
institution
Provider Business Practice Location Address Details
Address
2593 Sw 27Th St
City
Redmond
State
Oregon
Zip
97756-8125
Phone Number
541-699-8679
Fax Number
person
Provider Business Mailing Address Details
Address
2593 Sw 27Th St
City
Redmond
State
Oregon
Zip
97756-8125
Phone Number
541-699-8679
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
23342 (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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