Individual provider · Type 1 NPI

Ellen Laura Kimberley, LMT

Massage Therapist · Portland, OR

NPI number 1003319831 Active

Practice location

7016 SE Boise St
Portland, OR 97206-3453

Call (503) 849-4037 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24145 (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 1003319831

Ellen Laura Kimberley, LMT's National Provider Identifier is 1003319831, issued on Mar 18, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 18, 2018.