Individual provider · Type 1 NPI

Jessica Wick, LMT 27215

Massage Therapist · Portland, OR

NPI number 1194596361 Active

Practice location

3120 SE 50th Ave
Portland, OR 97206-2247

Call (971) 701-1159 Map

Mailing address

4975 SE Division St Apt 405
Portland, OR 97206-1573

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27215 (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 1194596361

Jessica Wick, LMT 27215's National Provider Identifier is 1194596361, issued on Jan 15, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 15, 2024.