Individual provider · Type 1 NPI

Alyssa Ackerman

Massage Therapist · Portland, OR

NPI number 1528622347 Active

Practice location

1016 SE 12th Ave
Portland, OR 97214-2513

Call (503) 482-9253 Map

Mailing address

15602 SE Madison Ct
Portland, OR 97233-3654

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X25025 (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 1528622347

Alyssa Ackerman's National Provider Identifier is 1528622347, issued on Apr 26, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 26, 2019.