Individual
LAURA MARIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17681
OR
225700000X
Massage Therapist
Primary
17681
OR
Other
Enumeration date
11/01/2011
Last updated
05/03/2018
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