Individual provider · Type 1 NPI

Corey Blue

Massage Therapist · Portland, OR

NPI number 1124866843 Active

Practice location

2442 SE 101st Ave Ste 308
Portland, OR 97216-3065

Call (971) 678-6663 Map

Mailing address

5130 SE 72nd Ave
Portland, OR 97206-4400

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28443 (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 1124866843

Corey Blue's National Provider Identifier is 1124866843, issued on Jul 17, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 17, 2024.