Individual provider · Type 1 NPI

Amity Mead

Massage Therapist · Portland, OR

NPI number 1114387164 Active

Practice location

2476 NW Northrup St, Suite 2A
Portland, OR 97210-3133

Call (503) 704-0579 Map

Mailing address

3003 SE 43rd Ave
Portland, OR 97206-3101

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAT 12879 (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 1114387164

Amity Mead's National Provider Identifier is 1114387164, issued on Mar 3, 2016. 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, 2016.