Individual provider · Type 1 NPI

Jonathan Clark Grossart, LMT, CERT ADV ROLFER

Massage Therapist · Portland, OR

NPI number 1013152032 Active

Practice location

1727 NE 13th Ave Ste 101
Portland, OR 97212-4378

Call (503) 933-8066 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13752 (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 1013152032

Jonathan Clark Grossart, LMT, CERT ADV ROLFER's National Provider Identifier is 1013152032, issued on Dec 4, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 1, 2017.