Individual provider · Type 1 NPI
Bruce Jarrod Kandle, LMT, MP
Massage Therapist · Weston, OR
NPI number
1689059552
Active
Practice location
77895 Lupine Ln
Weston, OR 97886-6006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA 60563683 (WA) |
| Massage Therapist | 225700000X | 21472 (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.
About NPI 1689059552
Bruce Jarrod Kandle, LMT, MP's National Provider Identifier is 1689059552, issued on Jul 21, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Weston, OR. The record was last updated on Jul 21, 2015.