Individual provider · Type 1 NPI

Paulina Thibodeaux, LMT

Massage Therapist · Portland, OR

NPI number 1407273162 Active

Practice location

625 NW 17th Ave
Portland, OR 97209-2209

Call (503) 924-6535 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20270 (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 1407273162

Paulina Thibodeaux, LMT's National Provider Identifier is 1407273162, issued on Mar 19, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 19, 2014.