Individual provider · Type 1 NPI

Kristine M. Roberts, L.M.T

Massage Therapist · Portland, OR

NPI number 1184169633 Active

Practice location

4125 NE 78th Ave
Portland, OR 97218-3925

Call (971) 313-4647 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60704905 (WA)
Massage Therapist 225700000X22776 (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 1184169633

Kristine M. Roberts, L.M.T's National Provider Identifier is 1184169633, issued on Dec 19, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 19, 2016.