Individual provider · Type 1 NPI

Kristine Marie Rosenquist, LMT

Massage Therapist · Portland, OR

NPI number 1407109119 Active

Practice location

10175 SW Barbur Blvd, Suite 300BE
Portland, OR 97219-5908

Call (503) 754-5375 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12111 (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 1407109119

Kristine Marie Rosenquist, LMT's National Provider Identifier is 1407109119, issued on Oct 18, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 18, 2012.