Mira Brockelman is a Massage Therapist based in Talent, OR. Mira Brockelman practices in Talent, OR. The NPI Number for Mira Brockelman is 1962048579 and holds a License No. (Oregon).
The current practice location address for Mira Brockelman is 204 S 1St St, Talent, OR and can be reached out via phone at 971-275-2854.
Location: 204 S 1St St, Talent, OR, 97540-7002
Provider Profile Details
NPI Number
1962048579
Provider Name
Mira Brockelman
Credential
Provider Entity Type
Individual
Gender
Female
Address
204 S 1St St, Talent, OR, 97540-7002
Phone Number
971-275-2854
Fax Number
Provider Enumeration Date
11/19/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
204 S 1St St
City
State
Zip
97540-7002
Phone Number
971-275-2854
Fax Number
Provider Business Mailing Address Details
Address
204 S 1St St
City
State
Zip
97540-7002
Phone Number
971-275-2854
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
()
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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