Individual provider · Type 1 NPI

Ann Tesora, LMT

Massage Therapist · Portland, OR

NPI number 1487202883 Active

Practice location

1320 Northwest 20th Avenue
Portland, OR 97209

Mailing address

1320 NW 20th Ave
Portland, OR 97209-1607

Other practice locations

  • 1320 NW 20th Ave, Portland, OR 97209-1607 · (503) 939-8205

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24716 (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 1487202883

Ann Tesora, LMT's National Provider Identifier is 1487202883, issued on Aug 28, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 28, 2019.