Individual provider · Type 1 NPI

Sheila M. Custer-Sage, LMT

Massage Therapist · Portland, OR

NPI number 1467699397 Active

Practice location

1201 SW 12th Ave, Suite 205
Portland, OR 97205-2046

Call (503) 279-0205 Map

Fax (503) 279-0206

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5372 (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 1467699397

Sheila M. Custer-Sage, LMT's National Provider Identifier is 1467699397, issued on Jan 14, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 14, 2009.