Individual provider · Type 1 NPI

Michael E. Kistler, LMT

Massage Therapist · Clackamas, OR

NPI number 1609438969 Active

Practice location

9123 SE Saint Helens St Ste 100A
Clackamas, OR 97015-6800

Call (503) 482-2122 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20117 (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 1609438969

Michael E. Kistler, LMT's National Provider Identifier is 1609438969, issued on Jul 7, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clackamas, OR. The record was last updated on Jul 7, 2019.