Organization
CUSTOM MASSAGE BUILDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD BATAGLIA LMT (OWNER)
(541) 231-2314
Entity
Organization
Contact information
Practice address
2312 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 231-2314
Mailing address
2312 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 231-2314
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17412
OR
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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