Individual provider · Type 1 NPI

Kimberlee Heaps, LMT

Massage Therapist · Lake Oswego, OR

NPI number 1104462381 Active

Practice location

3 Monroe Pkwy Ste U
Lake Oswego, OR 97035-8875

Mailing address

1322 SW Spring Garden St
Portland, OR 97219-4359

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25232 (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 1104462381

Kimberlee Heaps, LMT's National Provider Identifier is 1104462381, issued on Nov 21, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Nov 21, 2019.