Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT RICHARD ELLESTAD, LMT
Active Sole ProprietorMR. ROBERT RICHARD ELLESTAD, LMT is a Massage Therapist healthcare provider located in SALEM, Oregon. NPI 1174762520 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SALEM, OR
Registration Details
- NPI Number
- 1174762520
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2009 (17.491267230043 yrs)
- Last Updated
- Feb 9, 2009
- License
-
14560 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 GLEN CREEK RD NWSALEM, OR, 973043058Browse OR providers · Browse ZIP 97304
- Phone
- 5035072730
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| MS. MICHELLE L BLAKE | LMT | 1235125857 |
| DEBRA ELLEN SIMERAL | LMT | 1356392336 |
| MR. HORACIO GOMEZ GUTIERREZ | LMT | 1295772499 |
| MISS ANN WATTERS | LMT #4867,RPP,RPE | 1740359462 |
| MS. KARYN ROBERTS | LMT | 1528128519 |
| MR. MICHAEL JON CLINE | L.M.T. | 1790841443 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.