Provider Demographics
NPI:1225758055
Name:MENEFEE, BRITTANY (LMT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:MENEFEE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 SE MILL ST
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-3407
Mailing Address - Country:US
Mailing Address - Phone:541-891-2748
Mailing Address - Fax:
Practice Address - Street 1:714 SE ROSE ST
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-3941
Practice Address - Country:US
Practice Address - Phone:541-891-2748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist