MISS CASSANDRA SHELLICE BENNETT LMT - NPI 1710499793 - Massage Therapist in Molalla, OR

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Miss Cassandra Shellice Bennett Lmt NPPES

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

MISS CASSANDRA SHELLICE BENNETT LMT (NPI 1710499793) is an individual massage therapist in Molalla, Oregon, licensed in Oregon (16118) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1710499793

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMISS CASSANDRA SHELLICE BENNETTCredential: LMT

Location Address317 N MOLALLA AVEMolalla, OR 97038

Mailing AddressPo Box 270Molalla, OR 97038 · (503) 829-6176 · Fax (503) 829-6178

Phone(503) 829-6176

Fax(503) 829-6178

Sole ProprietorNo

Enumeration DateOctober 30, 2017

Last NPPES UpdateOctober 31, 2017

✔ NPI 1710499793 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 · 16118

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.

317 N MOLALLA AVE, Molalla, OR 97038

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