Individual provider · Type 1 NPI

Tracy Ann Burkholder, LMT

Massage Therapist · Portland, OR

NPI number 1578622932 Active

Practice location

1416 SE 49th Ave
Portland, OR 97215-2531

Call (503) 233-7404 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X5771 (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 1578622932

Tracy Ann Burkholder, LMT's National Provider Identifier is 1578622932, issued on Dec 8, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.