Individual provider · Type 1 NPI

Aimee Mauck Lasich

Massage Therapist · Portland, OR

NPI number 1386184422 Active

Practice location

1450 N Prescott St, Apt 411
Portland, OR 97217-3202

Call (503) 780-7195 Map

Fax (503) 288-8972

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14598 (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 1386184422

Aimee Mauck Lasich's National Provider Identifier is 1386184422, issued on Mar 7, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 7, 2017.