NPI 1457671828

Vicki J. O'Dea, LMT

Practitioner Mechanotherapist Salem, OR

Practice location

Address: 2475 Lancaster Dr NE Suite 4, Salem, OR 97305-4268
Phone: (503) 391-7788
Fax: (503) 391-6007
Mailing address: 4643 47th Ave NE, Salem, OR 97305-3112

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 5972 (OR)

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Registry record

NPI: 1457671828
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2010
Record last updated: 8 Jun 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.