Individual provider · Type 1 NPI

Scott David Michaels, L.AC., L.M.T.

Massage Therapist · Gresham, OR

NPI number 1619178787 Active

Practice location

19201 SE Division St
Gresham, OR 97030-5291

Call (503) 293-6691 Map

Mailing address

23785 E Benchwood Ln
Rhododendron, OR 97049-9712

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4452 (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.

2 other providers at this address

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About NPI 1619178787

Scott David Michaels, L.AC., L.M.T.'s National Provider Identifier is 1619178787, issued on May 29, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Jul 8, 2007.