Individual provider · Type 1 NPI

Rebecca Kate Ellis, LMT

Massage Therapist · Portland, OR

NPI number 1114209095 Active

Practice location

1804 NE 45th Ave
Portland, OR 97213-1416

Call (805) 284-2512 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13085 (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 1114209095

Rebecca Kate Ellis, LMT's National Provider Identifier is 1114209095, issued on Sep 15, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 15, 2011.