Individual provider · Type 1 NPI

Kevin Thomas Ryan

Massage Therapist · Portland, OR

NPI number 1063019479 Active

Practice location

2220 NW Front Ave Apt 316
Portland, OR 97209-1998

Call (360) 621-2920 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25054 (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 1063019479

Kevin Thomas Ryan's National Provider Identifier is 1063019479, issued on Oct 8, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 8, 2020.