Individual provider · Type 1 NPI

Dustie Nicole Chapman, L.M.T.

Massage Therapist · Beaverton, OR

NPI number 1104172410 Active

Practice location

2155 NW 173rd Ave, Ste. 103
Beaverton, OR 97006-3563

Fax (503) 352-0734

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11054 (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 1104172410

Dustie Nicole Chapman, L.M.T.'s National Provider Identifier is 1104172410, issued on Jul 24, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 24, 2012.