MRS. DEVON BRUCKNER, LMT

Massage Therapist

Active Individual
NPI: 1346724283

Practice Address

289 E ELLENDALE AVE STE 101
Dallas, OR 97338

Phone: (503) 623-9676

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 22789 (OR)

Frequently Asked Questions

NPI 1346724283 is the National Provider Identifier for MRS. DEVON BRUCKNER, LMT, a Massage Therapist provider located in Dallas, OR. This NPI was enumerated on September 17, 2018.
MRS. DEVON BRUCKNER, LMT practices at 289 E ELLENDALE AVE STE 101, Dallas, OR 97338.

Quick Facts

NPI
1346724283
Type
Individual
Enumerated
Sep 17, 2018
Last Updated
Sep 25, 2019

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