Individual provider · Type 1 NPI

Laurie Shepard-Glenn, LMT

Massage Therapist · Portland, OR

NPI number 1114215373 Active

Practice location

0110 SW Bancroft St
Portland, OR 97239-4062

Call (503) 358-4383 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6093 (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.

Another provider at this address

Other massage therapist providers in Portland

See all in Portland →

About NPI 1114215373

Laurie Shepard-Glenn, LMT's National Provider Identifier is 1114215373, issued on Jul 20, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 20, 2011.