Individual provider · Type 1 NPI

Ukiko H. Maxwell, LMT

Massage Therapist · Gresham, OR

NPI number 1215580345 Active

Practice location

405 NE Division St
Gresham, OR 97030-3947

Call (503) 661-0791 Map

Mailing address

2818 SE 69th Ave
Portland, OR 97206-1231

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25128 (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 1215580345

Ukiko H. Maxwell, LMT's National Provider Identifier is 1215580345, issued on Jul 17, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Jul 17, 2019.