Individual provider · Type 1 NPI

Jasper Marie Gauthier, LMT

Massage Therapist · Portland, OR

NPI number 1114197480 Active

Practice location

13112 NE Halsey St
Portland, OR 97230-2350

Call (503) 252-3952 Map

Fax (503) 252-3052

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14431 (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 1114197480

Jasper Marie Gauthier, LMT's National Provider Identifier is 1114197480, issued on Mar 3, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 3, 2008.