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Sandra Jean Stafford, LMT
Massage Therapist in Molalla, Oregon
NPI 1891834677

Sandra Jean Stafford is a Massage Therapist based in Molalla, OR. Sandra Jean Stafford practices in Molalla, OR and has the professional credentials of LMT. The NPI Number for Sandra Jean Stafford is 1891834677 and holds a License No. 10643 (Oregon).

The current practice location address for Sandra Jean Stafford is 34952 S Ellis Rd, Molalla, OR and can be reached out via phone at 503-829-5918 and via fax at 503-829-2018.

Location: 34952 S Ellis Rd, Molalla, OR, 97038-8478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891834677
Provider Name
Sandra Jean Stafford
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
34952 S Ellis Rd, Molalla, OR, 97038-8478
Phone Number
503-829-5918
Fax Number
503-829-2018
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10643 01 OR LMT
institution
Provider Business Practice Location Address Details
Address
34952 S Ellis Rd
City
Molalla
State
Oregon
Zip
97038-8478
Phone Number
503-829-5918
Fax Number
503-829-2018
person
Provider Business Mailing Address Details
Address
34952 S Ellis Rd
City
Molalla
State
Oregon
Zip
97038-8478
Phone Number
503-829-5918
Fax Number
503-829-2018
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
10643 (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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