Provider Demographics
NPI:1952112245
Name:LOPER, BRITTNIE BARNEY (LMT)
Entity type:Individual
Prefix:
First Name:BRITTNIE
Middle Name:BARNEY
Last Name:LOPER
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 1:2287 JOPLIN CT S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-2217
Mailing Address - Country:US
Mailing Address - Phone:435-418-0334
Mailing Address - Fax:
Practice Address - Street 1:2150 COMMERCIAL ST SE STE 10
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-5379
Practice Address - Country:US
Practice Address - Phone:971-707-4706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR27276225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist