Individual provider · Type 1 NPI

Jessica Eden, LMT

Massage Therapist · Portland, OR

NPI number 1174847875 Active

Practice location

04 SW Hamilton St
Portland, OR 97239-4095

Call (503) 715-6984 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10047 (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 1174847875

Jessica Eden, LMT's National Provider Identifier is 1174847875, issued on Mar 24, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 24, 2010.