Individual provider · Type 1 NPI
Diane Rockell, LMT
Massage Therapist · Portland, OR
NPI number
1649790197
Active
Practice location
631 SE 81st Ave
Portland, OR 97215-2309
Mailing address
12208 NW Barnes Rd Apt 225
Portland, OR 97229-6024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 20483 (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 1649790197
Diane Rockell, LMT's National Provider Identifier is 1649790197, issued on Jun 26, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 29, 2021.