Individual provider · Type 1 NPI

Cheyenne Grace Banas, LMT

Massage Therapist · Portland, OR

NPI number 1497453351 Active

Practice location

905 SE Ankeny St
Portland, OR 97214-1349

Mailing address

2815 SE Francis St
Portland, OR 97202-3043

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X33.024129 (OH)
Massage Therapist Primary 225700000X27273 (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 1497453351

Cheyenne Grace Banas, LMT's National Provider Identifier is 1497453351, issued on Feb 21, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 21, 2023.