Individual provider · Type 1 NPI

Ethan Boswell, LMT

Massage Therapist · Beaverton, OR

NPI number 1548072499 Active

Practice location

12750 SW 2nd St Ste 203
Beaverton, OR 97005-2779

Call (971) 228-1122 Map

Mailing address

16593 NW Oak Creek Dr
Beaverton, OR 97006-7479

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28815 (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 1548072499

Ethan Boswell, LMT's National Provider Identifier is 1548072499, issued on Jan 27, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Jan 27, 2025.