Individual provider · Type 1 NPI

Theresa Jean Ford, L.M.T.

Massage Therapist · Portland, OR

NPI number 1063735918 Active

Practice location

521 SW 11th Ave, Suite 305
Portland, OR 97205-2634

Call (503) 810-3091 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7454 (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 1063735918

Theresa Jean Ford, L.M.T.'s National Provider Identifier is 1063735918, issued on Mar 7, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 7, 2010.