Most Relevant Information
Provider Data
| NPI Number: | 1003184847 |
| Provider Name: | JOELLE ANNE CAPPELLO LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 12552 |
Most Important Dates
| Enumeration Date: | 12/08/2011 |
| Last Updated: | 12/08/2011 |
Provider Practice Location
1928 NE 40TH AVE
PORTLAND
OR
972125310
Practice Location Phone/Fax
| Phone: | 5032872787 |
| Fax: |
Provider Mailing Location
1928 NE 40TH AVE
PORTLAND
OR
972125310
Provider Mailing Phone/Fax
| Phone: | 5032872787 |
| Fax: |