Individual provider · Type 1 NPI

Brian Soderholm, LMT

Mechanotherapist · Gresham, OR

NPI number 1053683813 Active

Practice location

22400 SE Stark St
Gresham, OR 97030-2656

Call (503) 491-5555 Map

Fax (503) 674-5005

Mailing address

3536 N Commercial Ave
Portland, OR 97227-1308

Specialties and licenses

TaxonomyCodeLicense
Mechanotherapist Primary 172M00000X18501 (OR)
Massage Therapist 225700000X18501 (OR)

Mechanotherapist: A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.

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About NPI 1053683813

Brian Soderholm, LMT's National Provider Identifier is 1053683813, issued on Feb 8, 2012. The primary taxonomy on file is Mechanotherapist (172M00000X), and the practice location is in Gresham, OR. The record was last updated on Feb 8, 2012.