Individual provider · Type 1 NPI

Nylah Aundranique Goudy, LMT

Massage Therapist · Portland, OR

NPI number 1477337012 Active

Practice location

811 E Burnside St Ste 217
Portland, OR 97214-1231

Mailing address

1088 NE 7th Ave Apt 206
Portland, OR 97232-3623

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X023354 (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 1477337012

Nylah Aundranique Goudy, LMT's National Provider Identifier is 1477337012, issued on Aug 23, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 23, 2023.