NPI 1710123690 · live from the CMS NPI Registry
Suzanne Marie Alexander, LMT
Massage Therapist in Bandon, OR. National Provider Identifier 1710123690, active.
NPI record
| NPI | 1710123690 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1130 Baltimore Ave Se, Ste C, Bandon, OR 97411 |
| Practice phone | 541-347-9618 |
| Mailing address | Po Box 401, Bandon, OR 97411 |
| Enumerated | December 26, 2008 |
| Last updated | December 26, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 1505 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.