Individual provider · Type 1 NPI
Angela Jean Davis, LMT
Massage Therapist · Tigard, OR
NPI number
1043345267
Active
Practice location
18039 SW Lower Boones Ferry Rd
Tigard, OR 97224-7228
Mailing address
9025 SW Oak St
Tigard, OR 97223-6547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11689 (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.
Another provider at this address
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About NPI 1043345267
Angela Jean Davis, LMT's National Provider Identifier is 1043345267, issued on Feb 21, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tigard, OR. The record was last updated on Jul 8, 2007.