Individual provider · Type 1 NPI

Jonathan Hetrick Wolf, LMT

Massage Therapist · Portland, OR

NPI number 1295278729 Active

Practice location

5263 NE 16th Ave
Portland, OR 97211-4423

Call (503) 915-9835 Map

Other practice locations

  • 828 SE 34th Ave, Portland, OR 97214-4384 · (503) 232-3560

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20541 (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 1295278729

Jonathan Hetrick Wolf, LMT's National Provider Identifier is 1295278729, issued on Dec 1, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 14, 2020.