Valerie Lee Reneau, LMT
Massage Therapist in Canyonville, OR. Individual provider (NPI-1).
NPI number1407623366
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1407623366
- Entity type
- Individual (NPI-1)
- Name
- Valerie Lee Reneau
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Jan 9, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | LMT-24993 | OR | Yes |
Practice location
480 Wartahoo LnCanyonville, OR 97417-9683
Phone 541-672-8533
Mailing address
Po Box 1213Myrtle Creek, OR 97457-0129
Phone 541-643-1126
Other practice locations
2589 Nw Edenbower Blvd
Roseburg, OR 97471-6224
Roseburg, OR 97471-6224
Phone 541-728-5336 · Fax 855-670-1788
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