Individual provider · Type 1 NPI
Mariya Zavyalova, LMT
Massage Therapist · Portland, OR
NPI number
1003205113
Active
Practice location
1017 SW Morrison St Ste 411
Portland, OR 97205-2629
Mailing address
12711 SE Lydia Ct
Portland, OR 97236-4909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 20380 (OR) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1003205113
Mariya Zavyalova, LMT's National Provider Identifier is 1003205113, issued on Jan 13, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 13, 2015.