Individual provider · Type 1 NPI

Jennifer Elizabeth Nisly

Massage Therapist · Portland, OR

NPI number 1487354031 Active

Practice location

2505 SW Spring Garden St Ste 100
Portland, OR 97219-3966

Call (503) 841-6222 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26575 (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 1487354031

Jennifer Elizabeth Nisly's National Provider Identifier is 1487354031, issued on Mar 2, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 2, 2023.