Gina Dever Huntley, LMT Valid NPI
Individual provider · Massage Therapist · Wilsonville, OR
- NPI
- 1558309997
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 10942 (OR)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-06-04
- Last updated
- 2007-07-08
Practice location
28740 Sw Parkway Avenue, #A4
Wilsonville, OR 97070
(503) 329-6365