Individual provider · Type 1 NPI

Taylor Nicole Gunderman, LMT

Massage Therapist · Portland, OR

NPI number 1447822861 Active

Practice location

3821 NE Martin Luther King Jr Blvd
Portland, OR 97212-1114

Call (503) 289-1390 Map

Mailing address

5172 SW Slavin Rd Apt 69
Portland, OR 97239-8213

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26400 (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 1447822861

Taylor Nicole Gunderman, LMT's National Provider Identifier is 1447822861, issued on Jul 14, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 14, 2021.