Individual provider · Type 1 NPI

Joseph Thomas Stovall Ii, ESQ., LMT

Massage Therapist · Portland, OR

NPI number 1366143372 Active

Practice location

4313 NE Tillamook St
Portland, OR 97213-1315

Call (971) 207-3419 Map

Mailing address

14900 S Stevens Rd
Oregon City, OR 97045-8438

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27341 (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 1366143372

Joseph Thomas Stovall Ii, ESQ., LMT's National Provider Identifier is 1366143372, issued on Mar 15, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 15, 2023.