Provider Demographics
NPI:1518466564
Name:SETTELMEYER, JOYCE MARIA (LMT)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:MARIA
Last Name:SETTELMEYER
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 1:1365 W HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97424-1982
Mailing Address - Country:US
Mailing Address - Phone:541-943-3291
Mailing Address - Fax:
Practice Address - Street 1:1365 W HARRISON AVE
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-1982
Practice Address - Country:US
Practice Address - Phone:541-943-3291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10191225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist