Organization · Type 2 NPI

Wild Moss Wellness LLC

Massage Therapist · Portland, OR

NPI number 1407607633 Active

Practice location

529 SE Grand Ave Ste 300D
Portland, OR 97214-2232

Call (503) 410-3013 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1407607633

Wild Moss Wellness LLC's National Provider Identifier is 1407607633, issued on Mar 27, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 27, 2024.