Individual provider · Type 1 NPI

Jessica Anne Blaylock, LMT

Massage Therapist · Portland, OR

NPI number 1205158656 Active

Practice location

909 N Beech St Ste 211
Portland, OR 97227-1260

Call (503) 473-2009 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10266 (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 1205158656

Jessica Anne Blaylock, LMT's National Provider Identifier is 1205158656, issued on Feb 25, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 25, 2010.