Individual provider · Type 1 NPI

Connie Porter, LMP

Massage Therapist · Vancouver, WA

NPI number 1679782320 Active

Practice location

120 NE 117th Ave
Vancouver, WA 98684-5020

Fax (360) 944-7732

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00023440 (WA)

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 1679782320

Connie Porter, LMP's National Provider Identifier is 1679782320, issued on May 21, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.