Individual provider · Type 1 NPI
Meagan Anne Freed, LMT
Massage Therapist · Portland, OR
NPI number
1629321997
Active
Practice location
2505 SE 11th Ave Ste 356
Portland, OR 97202
Mailing address
5421 SE 86th Ave
Portland, OR 97266-4701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 14982 (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 1629321997
Meagan Anne Freed, LMT's National Provider Identifier is 1629321997, issued on Oct 23, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2018.