Individual provider · Type 1 NPI

Audrey Jean Kolb, L.M.T.

Massage Therapist · Gresham, OR

NPI number 1598034092 Active

Practice location

790 E Powell Blvd
Gresham, OR 97030-7616

Call (503) 970-0147 Map

Fax (503) 618-0148

Mailing address

3737 NE 74th Ave
Portland, OR 97213-5722

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16306 (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 1598034092

Audrey Jean Kolb, L.M.T.'s National Provider Identifier is 1598034092, issued on Dec 29, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Jul 31, 2013.