Organization · Type 2 NPI

Classic Body Restoration LLC

Massage Therapist · Portland, OR

NPI number 1104186642 Active

Practice location

107 SE Washington St, #125
Portland, OR 97214-2103

Call (503) 239-2639 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13098 (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 1104186642

Classic Body Restoration LLC's National Provider Identifier is 1104186642, issued on May 17, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 17, 2012.