Individual provider · Type 1 NPI
Athena Wrennette Rolph, LMT
Massage Therapist · Boring, OR
NPI number
1114219110
Active
Practice location
11943 SE 362nd Ave
Boring, OR 97009-8720
Fax (503) 663-0664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18063 (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.
Other massage therapist providers in Boring
About NPI 1114219110
Athena Wrennette Rolph, LMT's National Provider Identifier is 1114219110, issued on May 9, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boring, OR. The record was last updated on May 9, 2011.