Individual provider · Type 1 NPI

Alissa K. Kipp, LMT

Massage Therapist · Portland, OR

NPI number 1578096384 Active

Practice location

123 NE 6th Ave
Portland, OR 97232-2903

Call (503) 961-4036 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18918 (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 1578096384

Alissa K. Kipp, LMT's National Provider Identifier is 1578096384, issued on Apr 7, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 10, 2017.