Individual provider · Type 1 NPI

Theresa Peranich, L.M.T.

Massage Therapist · Portland, OR

NPI number 1497074660 Active

Practice location

2303 E Burnside St
Portland, OR 97214-1655

Call (503) 287-7733 Map

Mailing address

18273 Holly Ln
Oregon City, OR 97045-8528

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17200 (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 1497074660

Theresa Peranich, L.M.T.'s National Provider Identifier is 1497074660, issued on May 26, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 23, 2012.