Doctor Name: | JUDITH LOUISE RICHTER-WILCOX |
NPI Number: | 1477926210 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 21442 |
Business Practice Address: | 22000 Willamette Dr Ste 107 West Linn, OR - 970683210 |
Business Phone Number: | 5037228888 |
Business Fax Number: | 5037229422 |
Mailing Address: | Po Box 1062, OREGON CITY |
State: | OR |
Postal Code: | 970450075 |
Phone Number: | 9716450777 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2015 |
NPI Last Update Date: | 11/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 21442 |
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. |