Individual provider · Type 1 NPI

Thomas Matthew Jacobs, LMT

Massage Therapist · Portland, OR

NPI number 1225920259 Active

Practice location

4005 NE 76th Ave
Portland, OR 97213-6429

Call (503) 347-1884 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X29107 (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 1225920259

Thomas Matthew Jacobs, LMT's National Provider Identifier is 1225920259, issued on Jul 15, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2025.