Individual provider · Type 1 NPI

Teddy Martin, LMT

Massage Therapist · Portland, OR

NPI number 1083444384 Active

Practice location

7925 SE Stark St
Portland, OR 97215-2341

Call (503) 785-9914 Map

Mailing address

920 SE 50th Ave
Portland, OR 97215-2602

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28143 (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 1083444384

Teddy Martin, LMT's National Provider Identifier is 1083444384, issued on Aug 2, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 2, 2024.