Individual provider · Type 1 NPI
Jesse Zeline Prentiss, LMT
Massage Therapist · Ontario, OR
NPI number
1336539766
Active
Practice location
630 Jacobsen Gulch Rd
Ontario, OR 97914-8527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11431 (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.
About NPI 1336539766
Jesse Zeline Prentiss, LMT's National Provider Identifier is 1336539766, issued on Jan 23, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ontario, OR. The record was last updated on Jan 23, 2015.