Individual provider · Type 1 NPI

Gretchen Ann Grooms, LMT

Massage Therapist · Gresham, OR

NPI number 1124575139 Active

Practice location

24850 SE Stark St, Suite 200
Gresham, OR 97030-8316

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22679 (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 1124575139

Gretchen Ann Grooms, LMT's National Provider Identifier is 1124575139, issued on Sep 7, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Sep 7, 2016.