Individual
MARISSA COLLEEN LINDSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 VIRGINIA AVE, NORTH BEND, OR 97459-2700
(541) 252-8807
Mailing address
315 ROSS INLET RD, COOS BAY, OR 97420-9273
(541) 252-8807
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-24450
OR
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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