NPI 1114290335
Lisa R Brunner, LMT
Practice location
- Address
- 752 Hawthorne Ave NE, Salem, OR 97301-4675
- Phone
- (503) 409-0760
- Fax
- (503) 990-6644
Registered specialties
Mechanotherapist
Primary
Registry record
- NPI
- 1114290335
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Feb 2012
- Record last updated
- 3 Dec 2013
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.