Individual
NATALIE D DELOZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
325 N LOCUST ST, SISTERS, OR 97759-5047
(541) 549-3534
(541) 549-1272
Mailing address
PO BOX 1911, SISTERS, OR 97759-1911
(541) 549-3534
(541) 549-1272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10802
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10802
MASSAGE THERAPY LICENSE
OR
Enumeration date
08/06/2019
Last updated
08/06/2019
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