Individual provider · Type 1 NPI

Jenna Blackhurst, L.M.T.

Massage Therapist · Beaverton, OR

NPI number 1225564016 Active

Practice location

11415 SW Scholls Ferry Rd
Beaverton, OR 97008-7168

Call (541) 261-6482 Map

Mailing address

10914 SW 111th Ave
Tigard, OR 97223-3611

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22171 (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.

3 other providers at this address

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About NPI 1225564016

Jenna Blackhurst, L.M.T.'s National Provider Identifier is 1225564016, issued on May 11, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on May 11, 2017.