Individual provider · Type 1 NPI

Stuart Tait

Massage Therapist · Portland, OR

NPI number 1073819785 Active

Practice location

5441 SW Macadam Ave
Portland, OR 97239-6106

Call (503) 841-6222 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Massage Therapist Primary 225700000X10054 (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 1073819785

Stuart Tait's National Provider Identifier is 1073819785, issued on Jan 28, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 10, 2011.