Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRA BROCKELMAN
Active Sole ProprietorMIRA BROCKELMAN is a Massage Therapist healthcare provider located in TALENT, Oregon. NPI 1962048579 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · TALENT, OR
Registration Details
- NPI Number
- 1962048579
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2019 (6.5902359412084 yrs)
- Last Updated
- Nov 19, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 S 1ST STTALENT, OR, 975407002Browse OR providers · Browse ZIP 97540
- Phone
- 9712752854
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in TALENT, OR
| Name | Credential | NPI |
|---|---|---|
| TERISE JANE MANICH | LMT LICENSED MASSAGE | 1548456270 |
| MRS. TANYA DAWN OWEN | LMT | 1922311885 |
| DEBORAH (DEBI) RAPPAPORT | LMT 13155 | 1659630267 |
| KALESH WEAVER | LMT | 1114274685 |
| EVAN SMITH | L.M.T. | 1386038065 |
| BRIAN SHOEN | LMT | 1184074320 |
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.