Theresa Corina Solis, LMT Valid NPI
Individual provider · Massage Therapist · Wilsonville, OR
- NPI
- 1790090512
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 16727 (OR)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-08-17
- Last updated
- 2010-09-20
Practice location
11490 Sw Tooze Rd
Wilsonville, OR 97070-9519
(503) 927-5303