Organization
CUSTOM MASSAGE BUILDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD BROC BATTAGLIA LMT (MASSAGE THERAPIST)
(541) 231-2314
Entity
Organization
Contact information
Practice address
2310 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 231-2314
Mailing address
2310 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(541) 231-2314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17412
OR
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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