Individual provider · Type 1 NPI

Brandy Peacock, LMT

Massage Therapist · Portland, OR

NPI number 1295204436 Active

Practice location

2121 W Burnside St
Portland, OR 97210-3519

Call (503) 432-8348 Map

Mailing address

9512 SW 47th Ave
Portland, OR 97219-5243

Other practice locations

  • 2121 W Burnside St, Portland, OR 97210-3519 · (503) 432-8348

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1295204436

Brandy Peacock, LMT's National Provider Identifier is 1295204436, issued on Nov 16, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 16, 2018.