Individual provider · Type 1 NPI

Cole Tracy, LMT

Massage Therapist · Beaverton, OR

NPI number 1255970083 Active

Practice location

10700 SW Beaverton Hillsdale Hwy Ste 605
Beaverton, OR 97005-3019

Call (503) 567-4974 Map

Mailing address

2717 SE 15th Ave
Portland, OR 97202-2205

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25474 (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 1255970083

Cole Tracy, LMT's National Provider Identifier is 1255970083, issued on Dec 26, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Dec 26, 2019.