Individual provider · Type 1 NPI

Amanda Rose Taddeo, LMT

Massage Therapist · Portland, OR

NPI number 1649928391 Active

Practice location

2304 E Burnside St
Portland, OR 97214-1677

Call (267) 235-0060 Map

Mailing address

6234 NE Roselawn St
Portland, OR 97218-3027

Other practice locations

  • 909 N Beech St Unit 209, Portland, OR 97227-1260 · (503) 281-8989

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26799 (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 1649928391

Amanda Rose Taddeo, LMT's National Provider Identifier is 1649928391, issued on Mar 11, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 11, 2022.