Individual provider · Type 1 NPI

Mindy Ivy Todd, LMT

Massage Therapist · Beaverton, OR

NPI number 1154636504 Active

Practice location

10445 SW Canyon Rd Ste 270
Beaverton, OR 97005-1938

Mailing address

7246 SW 176th Ave
Aloha, OR 97007-6410

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16581 (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 1154636504

Mindy Ivy Todd, LMT's National Provider Identifier is 1154636504, issued on Aug 10, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on May 5, 2022.