Individual provider · Type 1 NPI

Rebecca Alice Henderson

Massage Therapist · Portland, OR

NPI number 1124898416 Active

Practice location

2149 NE Broadway St
Portland, OR 97232-1580

Mailing address

14555 SW 139th Ave
Portland, OR 97224-1401

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27959 (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 1124898416

Rebecca Alice Henderson's National Provider Identifier is 1124898416, issued on Jan 8, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 8, 2024.