Individual provider · Type 1 NPI

David Jacob, LMT

Massage Therapist · Portland, OR

NPI number 1639352909 Active

Practice location

2534 SE 35th Ave
Portland, OR 97202-1502

Call (503) 522-5550 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14424 (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 1639352909

David Jacob, LMT's National Provider Identifier is 1639352909, issued on Dec 10, 2007. 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, 2007.