Individual provider · Type 1 NPI

Terra Marie Long, LMT

Massage Therapist · Portland, OR

NPI number 1215403035 Active

Practice location

6685 W Burnside Rd Unit 313
Portland, OR 97210-6686

Call (405) 802-2340 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24168 (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 1215403035

Terra Marie Long, LMT's National Provider Identifier is 1215403035, issued on Oct 18, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 18, 2018.