NPI 1073651865

Andaesha K'Treva, LMT

Practitioner Specialist Salem, OR

Practice location

Address: 1920 Chemeketa St NE, Salem, OR 97301-4368
Phone: (503) 884-7873
Mailing address: PO Box 6106, Salem, OR 97304-0278

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 10539 (OR)

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Registry record

NPI: 1073651865
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2007
Record last updated: 8 Jul 2007

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.