Individual provider · Type 1 NPI

Chandra Maya Imel, LMT

Massage Therapist · Portland, OR

NPI number 1184085698 Active

Practice location

6909 SE Woodstock Blvd
Portland, OR 97206-5938

Call (206) 854-4126 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19145 (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 1184085698

Chandra Maya Imel, LMT's National Provider Identifier is 1184085698, issued on Mar 10, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 10, 2016.