Individual provider · Type 1 NPI

Tyler Richard Rose, LMT

Massage Therapist · Clackamas, OR

NPI number 1487202131 Active

Practice location

11804 SE Sunnyside Rd
Clackamas, OR 97015-9308

Call (503) 454-0782 Map

Fax (866) 577-6285

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25286 (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 1487202131

Tyler Richard Rose, LMT's National Provider Identifier is 1487202131, issued on Aug 27, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clackamas, OR. The record was last updated on Aug 27, 2019.