Individual provider · Type 1 NPI
Melissa Foutch, LMT
Massage Therapist · Portland, OR
NPI number
1336782929
Active
Practice location
10175 SW Barbur Blvd Ste 309B
Portland, OR 97219-5947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 22388 (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 1336782929
Melissa Foutch, LMT's National Provider Identifier is 1336782929, issued on Oct 25, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 25, 2019.