Individual provider · Type 1 NPI

Michelle Marie Bennett, LMT

Massage Therapist · Lake Oswego, OR

NPI number 1205385879 Active

Practice location

3689 Carman Dr Ste 300
Lake Oswego, OR 97035-2620

Call (503) 515-5579 Map

Fax (503) 697-7810

Mailing address

14044 Chelsea Drive
Lake Oswgo, OR 97035-5760

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21023 (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.

4 other providers at this address

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About NPI 1205385879

Michelle Marie Bennett, LMT's National Provider Identifier is 1205385879, issued on Sep 23, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Sep 1, 2020.