Doctor Name: | MRS. CASSIE DESIREE HALL |
NPI Number: | 1205061884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 14640 |
Business Practice Address: | 163 N 11th St Saint Helens, OR - 970511803 |
Business Phone Number: | 5038630707 |
Business Fax Number: | 5033977113 |
Mailing Address: | 53051 Nw Olepha Dr, SCAPPOOSE |
State: | OR |
Postal Code: | 970562721 |
Phone Number: | 5038630707 |
Fax Number: | 5033977113 |
NPI Enumeration Date: | 05/26/2009 |
NPI Last Update Date: | 05/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 14640 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |