Individual provider · Type 1 NPI

Tyler Kragerud, LMT

Massage Therapist · Portland, OR

NPI number 1134586365 Active

Practice location

3303 S Bond Ave
Portland, OR 97239-4501

Call (503) 494-7246 Map

Fax (503) 494-7635

Other practice locations

  • 1622 NW 15th Ave, Portland, OR 97209-2572 · (503) 329-5274

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22006 (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 1134586365

Tyler Kragerud, LMT's National Provider Identifier is 1134586365, issued on Jan 19, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 2, 2021.