Individual provider · Type 1 NPI
Eden D. Liedkie
Massage Therapist · Portland, OR
NPI number
1336951540
Active
Practice location
710 NW Naito Pkwy Apt C4
Portland, OR 97209-3723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA60530952 (WA) |
| Massage Therapist Primary | 225700000X | LMT19564 (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 1336951540
Eden D. Liedkie's National Provider Identifier is 1336951540, issued on Jan 23, 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 23, 2025.