Individual provider · Type 1 NPI

Stacey Kristen Mairs, LMT

Massage Therapist · Portland, OR

NPI number 1467749689 Active

Practice location

3944 N Mississippi Ave
Portland, OR 97227-1163

Call (503) 517-8222 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18233 (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 1467749689

Stacey Kristen Mairs, LMT's National Provider Identifier is 1467749689, issued on Jul 8, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2011.