MEDICARE: JEANNIA ANN MUHR LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	7971	OR

General Provider Information

NPI Number	:	1649483710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNIA ANN MUHR LMT

Provider Business Mailing Address
First Line	:	1511 HESS CREEK CT
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132-9579
Country	:	US
Telephone Number	:	503-997-6847
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 HESS CREEK CT
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132-9579
Country	:	US
Telephone Number	:	503-997-6847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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Directions to “ JEANNIA ANN MUHR LMT” Practice Location

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