Doctor Name: | VERDI HUMMEL |
NPI Number: | 1275925307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 12764 |
Business Practice Address: | 325 N Locust St Sisters, OR - 977595047 |
Business Phone Number: | 5415493534 |
Business Fax Number: | 5415491272 |
Mailing Address: | Po Box 1911, SISTERS |
State: | OR |
Postal Code: | 977591911 |
Phone Number: | 5415493534 |
Fax Number: | 5415491272 |
NPI Enumeration Date: | 02/26/2015 |
NPI Last Update Date: | 02/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 12764 |
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. |