Brooke Braga, LMT
Massage Therapist in Gresham, OR. Individual provider (NPI-1).
NPI number1528422797
StatusActive
Last updated in NPPESApr 13, 2016
Details
- NPI
- 1528422797
- Entity type
- Individual (NPI-1)
- Name
- Brooke Braga
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2016
- Last updated
- Apr 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 22187 | OR | Yes |
Practice location
1217 Ne Burnside RdSte # 301
Gresham, OR 97030-6722
Phone 503-492-2625
Mailing address
730 Se 212th AveUnit #101
Gresham, OR 97030-3460
Phone 310-918-8898
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