Individual provider · Type 1 NPI

Kundalini Rose Bennett, LMT

Massage Therapist · Portland, OR

NPI number 1043875768 Active

Practice location

3100 SE Alder Ct
Portland, OR 97214-3039

Call (503) 877-3688 Map

Other practice locations

  • 3100 SE Alder Ct, Portland, OR 97214-3039 · (503) 877-3688

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14081 (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 1043875768

Kundalini Rose Bennett, LMT's National Provider Identifier is 1043875768, issued on May 8, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 8, 2019.