Individual provider · Type 1 NPI

Jill L. Fessenden, BSN, LMT, ABLS

Massage Therapist · Portland, OR

NPI number 1275887432 Active

Practice location

3835 NE Hancock St, Glb
Portland, OR 97212-5319

Call (503) 288-8586 Map

Fax (503) 288-8586

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19119 (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 1275887432

Jill L. Fessenden, BSN, LMT, ABLS's National Provider Identifier is 1275887432, issued on Nov 8, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 8, 2012.