MR. ROBERT ELLESTAD, LMT
Massage Therapist
Active
Individual
NPI: 1174762520
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 14560 (OR) |
Frequently Asked Questions
NPI 1174762520 is the National Provider Identifier for MR. ROBERT ELLESTAD, LMT, a Massage Therapist provider located in Salem, OR. This NPI was enumerated on February 9, 2009.
MR. ROBERT ELLESTAD, LMT practices at 300 GLEN CREEK RD NW, Salem, OR 97304.
Quick Facts
- NPI
- 1174762520
- Type
- Individual
- Enumerated
- Feb 9, 2009
- Last Updated
- Feb 9, 2009
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