Individual provider · Type 1 NPI

Kelly Forester, LMT

Massage Therapist · Portland, OR

NPI number 1124306352 Active

Practice location

6018 SE Stark St, Ste. 103
Portland, OR 97215-1990

Call (503) 754-2696 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10273 (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 1124306352

Kelly Forester, LMT's National Provider Identifier is 1124306352, issued on Jul 21, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 11, 2014.