Individual provider · Type 1 NPI

Baylee Melcine Boustead, LMT

Massage Therapist · Newberg, OR

NPI number 1093348708 Active

Practice location

114 E Hancock St
Newberg, OR 97132-2822

Call (503) 554-0661 Map

Mailing address

4709 NE 41st St
Vancouver, WA 98661-8808

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-23832 (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 1093348708

Baylee Melcine Boustead, LMT's National Provider Identifier is 1093348708, issued on Feb 20, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Newberg, OR. The record was last updated on Feb 20, 2020.