Individual
DEBRA ELLEN SIMERAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
401 RATCLIFF DR SE, SALEM, OR 97302-4581
(503) 931-2077
Mailing address
1213 E VIRGINIA ST, STAYTON, OR 97383-2076
(503) 931-2077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11436
OR
Other
Enumeration date
05/13/2006
Last updated
07/21/2012
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