Individual provider · Type 1 NPI

Jeanene Teresa Wold, LMT

Massage Therapist · Wilsonville, OR

NPI number 1306331145 Active

Practice location

29781 SW Town Center Loop W Ste 100
Wilsonville, OR 97070-8901

Call (503) 682-3811 Map

Mailing address

4289 Alderbrook Ave SE
Salem, OR 97302-3945

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21338 (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 1306331145

Jeanene Teresa Wold, LMT's National Provider Identifier is 1306331145, issued on Jun 25, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wilsonville, OR. The record was last updated on Jun 25, 2018.