Individual provider · Type 1 NPI

Misty L. Mortensen

Massage Therapist · The Dalles, OR

NPI number 1104312974 Active

Practice location

551 Lone Pine Blvd
The Dalles, OR 97058-9403

Mailing address

693 Dry Creek Rd
Mosier, OR 97040-9772

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XCOS-FT-10118887 (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 1104312974

Misty L. Mortensen's National Provider Identifier is 1104312974, issued on Jul 5, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in The Dalles, OR. The record was last updated on Nov 13, 2018.