Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANORA FAWN, L.M.T.
Active Sole ProprietorMANORA FAWN, L.M.T. is a Mechanotherapist healthcare provider located in COOS BAY, Oregon. NPI 1467690925 is currently active in the NPPES registry. Verify at CMS.
Mechanotherapist · COOS BAY, OR
Registration Details
- NPI Number
- 1467690925
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2009 (17.590134639367 yrs)
- Last Updated
- Jan 21, 2009
- License
-
4636 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
632 ANDERSON AVECOOS BAY, OR, 974201632Browse OR providers · Browse ZIP 97420
- Phone
- 5412674439
- Primary Specialty
-
Mechanotherapist
172M00000X
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.