Individual provider · Type 1 NPI

Jennifer Nicohle Davis, L.M.T.

Massage Therapist · Happy Valley, OR

NPI number 1386973121 Active

Practice location

11950 SE 147th Ave Ste 105
Happy Valley, OR 97086-3820

Mailing address

11950 SE 147th Ave
Happy Valley, OR 97086-3820

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16422 (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 1386973121

Jennifer Nicohle Davis, L.M.T.'s National Provider Identifier is 1386973121, issued on Dec 7, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Happy Valley, OR. The record was last updated on Jan 11, 2022.