Individual provider · Type 1 NPI

Gareth Thomas Sick

Massage Therapist · Portland, OR

NPI number 1033969068 Active

Practice location

2149 NE Broadway St
Portland, OR 97232-1580

Mailing address

2047 SW 10th Ave Apt 1
Portland, OR 97201-3127

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25531 (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 1033969068

Gareth Thomas Sick's National Provider Identifier is 1033969068, issued on Mar 25, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 25, 2024.