Individual provider · Type 1 NPI

Jonathan Mark Fessler, BA, FNTP, LMT, CA

Massage Therapist · Portland, OR

NPI number 1629489190 Active

Practice location

1825 NE Broadway St Ste F
Portland, OR 97232-4433

Call (503) 830-0069 Map

Other practice locations

  • 1305 NE Fremont St, Portland, OR 97212-2218 · (503) 830-0069

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20420 (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 1629489190

Jonathan Mark Fessler, BA, FNTP, LMT, CA's National Provider Identifier is 1629489190, issued on May 18, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 10, 2019.