Individual provider · Type 1 NPI

Mandy Michelle Gregg, LMT

Massage Therapist · Portland, OR

NPI number 1265602007 Active

Practice location

2035 SE Belmont St
Portland, OR 97214-2812

Call (503) 459-9331 Map

Mailing address

1748 SE Elliott Ave
Portland, OR 97214-4812

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14363 (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 1265602007

Mandy Michelle Gregg, LMT's National Provider Identifier is 1265602007, issued on Mar 7, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 7, 2008.