Individual provider · Type 1 NPI

Jackson Lee Andrews, LMT

Massage Therapist · Powell Butte, OR

NPI number 1003239104 Active

Practice location

7380 SW Reif Rd
Powell Butte, OR 97753-1513

Call (541) 213-0491 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20031 (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.

About NPI 1003239104

Jackson Lee Andrews, LMT's National Provider Identifier is 1003239104, issued on Jan 24, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Powell Butte, OR. The record was last updated on Jan 24, 2014.