Individual provider · Type 1 NPI

Trent Willson, LMT

Massage Therapist · Portland, OR

NPI number 1689013823 Active

Practice location

6441 SW Canyon Ct Ste 102
Portland, OR 97221-1437

Call (503) 318-1670 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10366 (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 1689013823

Trent Willson, LMT's National Provider Identifier is 1689013823, issued on Jun 20, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2013.