NPI 1053646307

Carol R Mathre, LMT

Practitioner Massage Therapist Astoria, OR

Practice location

Address: 1154 Commercial St, Astoria, OR 97103-4126
Phone: (503) 440-3664
Mailing address: 41991 Meyer Ln, Astoria, OR 97103-8428

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 11681 (OR)

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Registry record

NPI: 1053646307
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2009
Record last updated: 5 Oct 2009

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.