Individual provider · Type 1 NPI

Kelly Ann Baumann, LMT

Massage Therapist · Portland, OR

NPI number 1104548320 Active

Practice location

3806 SE Belmont St
Portland, OR 97214-4330

Call (917) 679-4884 Map

Mailing address

1005 SE 16th Ave Apt 2
Portland, OR 97214-2665

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26972 (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 1104548320

Kelly Ann Baumann, LMT's National Provider Identifier is 1104548320, issued on Sep 14, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 14, 2022.