NPI 1003148701

John Darcy Story, LMT

Practitioner Mechanotherapist Keizer, OR

Practice location

Address: 5065 River Rd N, Keizer, OR 97303-5309
Phone: (503) 507-9888

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 7148 (OR)

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Registry record

NPI: 1003148701
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2010
Record last updated: 4 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.