Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 10473 | OR |
NPI | 1003232190 |
---|---|
Provider Name | Ms. Nancy Hopps |
First Address | Eugene, OR 97405-0224 |
Second Address | Eugene, OR 97405-9438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2014 |
Last Update Date | 13/03/2014 |