Individual provider · Type 1 NPI

Amanda Kirchem, LMT

Massage Therapist · Tualatin, OR

NPI number 1689082992 Active

Practice location

19300 SW Boones Ferry Rd
Tualatin, OR 97062-9086

Mailing address

PO Box 1730
Clackamas, OR 97015-1730

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20672 (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 1689082992

Amanda Kirchem, LMT's National Provider Identifier is 1689082992, issued on Jul 30, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tualatin, OR. The record was last updated on Jul 30, 2014.