Individual provider · Type 1 NPI

James Anthony Jacoby, LMT

Massage Therapist · Beaverton, OR

NPI number 1316580608 Active

Practice location

10700 SW Beaverton Hillsdale Hwy Ste 605
Beaverton, OR 97005-3019

Mailing address

18232 SW Orlov Ct
Aloha, OR 97078-1635

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23189 (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 1316580608

James Anthony Jacoby, LMT's National Provider Identifier is 1316580608, issued on Oct 20, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Oct 20, 2019.