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CONNIE BROADWAY L.M.T., CA
NPI 1184040420
Massage Therapist in Coos Bay, OR

Active since March 11, 2014
585 S 7TH ST, COOS BAY, OR 97420(541) 266-7543 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connie Broadway L.m.t., Ca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNIE BROADWAY L.M.T., CA (NPI 1184040420) is an individual massage therapist in Coos Bay, Oregon, licensed in Oregon (16018) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1184040420
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCONNIE BROADWAYCredential: L.M.T., CA
Location Address585 S 7TH STCoos Bay, OR 97420-1301
Mailing Address585 S 7th StCoos Bay, OR 97420-1301 · (541) 266-7543
Phone(541) 266-7543
Sole ProprietorYes
Enumeration DateMarch 11, 2014
✔ NPI 1184040420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 16018
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
585 S 7TH ST, Coos Bay, OR 97420
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connie Broadway's NPI number?

The NPI number for Connie Broadway is 1184040420. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is Connie Broadway located?

Connie Broadway practices at 585 S 7th St, Coos Bay, OR 97420. The listed phone number is (541) 266-7543.

What is Connie Broadway's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Connie Broadway was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.