Individual provider · Type 1 NPI

Amelia Dubois, LMT

Massage Therapist · Portland, OR

NPI number 1689977829 Active

Practice location

107 SE Washington St
Portland, OR 97214-2103

Mailing address

2370 SE 53rd Ave
Portland, OR 97215-3918

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17776 (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 1689977829

Amelia Dubois, LMT's National Provider Identifier is 1689977829, issued on Dec 9, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 9, 2010.