Individual provider · Type 1 NPI

Gerald W. Skyles, LMT

Massage Therapist · Portland, OR

NPI number 1114279122 Active

Practice location

7831 SE Stark St, 200
Portland, OR 97215-2357

Call (503) 757-7295 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6111 (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 1114279122

Gerald W. Skyles, LMT's National Provider Identifier is 1114279122, issued on Oct 15, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2012.