IndividualActive
Mara Spang, LMT
NPI 1508074873 · Massage Therapist · Bandon, OR
Provider details
- NPI number
- 1508074873
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4075 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
184 11th St Se
Bandon, OR 97411-9000
Phone: (541) 290-6668
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1164
Bandon, OR 97411-1164
Registry dates
- Enumerated
- 2007-05-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.