Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mira Brockelman

Individual provider Massage Therapist · NPI 1962048579

Mira Brockelman is a Massage Therapist in Talent, Oregon. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

204 S 1st St
Talent, OR 97540-7002
Phone: (971) 275-2854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1962048579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 19, 2019
Last updated in NPPESNovember 19, 2019

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