Individual
JOHN DARCY STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5065 RIVER RD N, KEIZER, OR 97303-5309
(503) 507-9888
Mailing address
5065 RIVER RD N, KEIZER, OR 97303-5309
(503) 507-9888
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7148
OR
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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