Individual provider · Type 1 NPI

Taralea Jean Locke, LMT

Massage Therapist · Gresham, OR

NPI number 1104149079 Active

Practice location

4253 SE 182nd Ave
Gresham, OR 97030-5083

Call (503) 661-5090 Map

Mailing address

9650 SE 250th Ave
Damascus, OR 97089-6561

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15486 (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 1104149079

Taralea Jean Locke, LMT's National Provider Identifier is 1104149079, issued on Mar 8, 2010. 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, 2025.