Individual provider · Type 1 NPI

Heather Marie Ellison, L.M.T

Massage Therapist · West Linn, OR

NPI number 1154606887 Active · reactivated Jul 13, 2017

Practice location

22000 Willamette Dr., #107
West Linn, OR 97068

Call (503) 722-8888 Map

Fax (503) 722-9422

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15510 (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 1154606887

Heather Marie Ellison, L.M.T's National Provider Identifier is 1154606887, issued on Oct 13, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Linn, OR. The record was last updated on Jul 13, 2017.