Individual provider · Type 1 NPI

Olivia Wycoff

Massage Therapist · Portland, OR

NPI number 1124273297 Active

Practice location

4512 SE Woodstock Blvd
Portland, OR 97206-6274

Call (503) 777-2776 Map

Mailing address

7025 NE 8th Ave
Portland, OR 97211-3523

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15225 (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 1124273297

Olivia Wycoff's National Provider Identifier is 1124273297, issued on Nov 17, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 17, 2008.