Individual provider · Type 1 NPI

Casey Tyrone Gates, LMT

Massage Therapist · Portland, OR

NPI number 1477070043 Active

Practice location

3109 NE Broadway St Ste B
Portland, OR 97232-1812

Call (971) 413-3106 Map

Mailing address

4118 SE Yamhill St
Portland, OR 97214-4447

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X023247 (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 1477070043

Casey Tyrone Gates, LMT's National Provider Identifier is 1477070043, issued on Aug 24, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 24, 2017.