Individual provider · Type 1 NPI

Tony Phomphakdy

Massage Therapist · Portland, OR

NPI number 1316750201 Active

Practice location

2149 NE Broadway St
Portland, OR 97232-1580

Mailing address

20140 NE Sandy Blvd Unit 112
Fairview, OR 97024-9751

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28326 (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.

38 other providers at this address

Other massage therapist providers in Portland

See all in Portland →

About NPI 1316750201

Tony Phomphakdy's National Provider Identifier is 1316750201, issued on Jan 27, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 27, 2025.