Individual provider · Type 1 NPI

Blake Holloway

Massage Therapist · Gresham, OR

NPI number 1083461115 Active

Practice location

23500 SE Stark St
Gresham, OR 97030-2942

Call (503) 406-8846 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24304 (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 1083461115

Blake Holloway's National Provider Identifier is 1083461115, issued on May 6, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Mar 26, 2026.