Individual provider · Type 1 NPI

Kyla Dawn Moe-Stull

Massage Therapist · Portland, OR

NPI number 1487360921 Active

Practice location

8288 SE 13th Ave
Portland, OR 97202-6610

Call (503) 477-9037 Map

Mailing address

5 SE M L King Blvd Apt 1413
Portland, OR 97214-1194

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X27336 (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 1487360921

Kyla Dawn Moe-Stull's National Provider Identifier is 1487360921, issued on Jan 27, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 27, 2023.