Individual provider · Type 1 NPI

Tracy Ann Mattner, LMT

Massage Therapist · Portland, OR

NPI number 1194279810 Active

Practice location

6510 NE Siskiyou St
Portland, OR 97213-4572

Call (503) 290-4757 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22577 (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 1194279810

Tracy Ann Mattner, LMT's National Provider Identifier is 1194279810, issued on Aug 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 Sep 30, 2019.