Individual provider · Type 1 NPI

Loretta Ellen Elliott, LMT

Massage Therapist · Tigard, OR

NPI number 1457646838 Active

Practice location

12085 SW 135th Ave Apt 58
Tigard, OR 97223-1617

Call (503) 880-6730 Map

Mailing address

12085 SW 135th Ave. APT.58
Tigard, OR 97223-1617

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14447 (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 1457646838

Loretta Ellen Elliott, LMT's National Provider Identifier is 1457646838, issued on Jun 14, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tigard, OR. The record was last updated on Jun 14, 2011.