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MIRA BROCKELMAN
NPI 1962048579
Massage Therapist in Talent, OR

Active since November 19, 2019
204 S 1ST ST, TALENT, OR 97540(971) 275-2854 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mira Brockelman NPPES

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

MIRA BROCKELMAN (NPI 1962048579) is an individual massage therapist in Talent, Oregon and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1962048579
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMIRA BROCKELMAN
Location Address204 S 1ST STTalent, OR 97540-7002
Mailing Address204 S 1st StTalent, OR 97540-7002 · (971) 275-2854
Phone(971) 275-2854
Sole ProprietorYes
Enumeration DateNovember 19, 2019
✔ NPI 1962048579 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
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.
204 S 1ST ST, Talent, OR 97540
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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 Mira Brockelman's NPI number?

The NPI number for Mira Brockelman is 1962048579. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Mira Brockelman located?

Mira Brockelman practices at 204 S 1st St, Talent, OR 97540. The listed phone number is (971) 275-2854.

What is Mira Brockelman'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 Mira Brockelman was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.