Individual provider · Type 1 NPI

Kirstin Davis, L.M.T.

Massage Therapist · Portland, OR

NPI number 1104189281 Active

Practice location

4475 SW Scholls Ferry Road, Suite 201
Portland, OR 97225

Call (503) 504-2569 Map

Fax (503) 719-5401

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10154 (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 1104189281

Kirstin Davis, L.M.T.'s National Provider Identifier is 1104189281, issued on Jun 22, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 22, 2012.