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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11689 (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 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.