Individual provider · Type 1 NPI

Dalton Bagley, LMT

Massage Therapist · Beaverton, OR

NPI number 1295154698 Active

Practice location

14619 SW Teal Blvd
Beaverton, OR 97007-6194

Call (503) 746-6585 Map

Mailing address

534 Illinois Ave NE
Salem, OR 97301-4632

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19467 (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 1295154698

Dalton Bagley, LMT's National Provider Identifier is 1295154698, issued on Apr 14, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Apr 14, 2014.