Individual provider · Type 1 NPI

Kelly Anne Smith, L.M.T.

Massage Therapist · Portland, OR

NPI number 1184074130 Active

Practice location

1971 NW Overton St, Alba Massage & Bodywork
Portland, OR 97209-1618

Call (503) 734-0973 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19641 (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 1184074130

Kelly Anne Smith, L.M.T.'s National Provider Identifier is 1184074130, issued on Jun 20, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2016.