Individual
NELLY PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12600 SE FREEMAN WAY, UNIT 19, MILWAUKIE, OR 97222-4650
(971) 221-4502
Mailing address
12600 SE FREEMAN WAY, UNIT 19, MILWAUKIE, OR 97222-4650
(971) 221-4502
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12277
OR
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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