Individual provider · Type 1 NPI
Stephanie J. Glass, L.M.T.
Massage Therapist · Portland, OR
NPI number
1275978686
Active
Practice location
6555 N Fenwick Ave
Portland, OR 97217-4951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7544 (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 1275978686
Stephanie J. Glass, L.M.T.'s National Provider Identifier is 1275978686, issued on Apr 30, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 30, 2013.