Individual provider · Type 1 NPI
Jessica Spyder Carneol, LMT
Massage Therapist · Portland, OR
NPI number
1699198267
Active
Practice location
3432 SE Grant St
Portland, OR 97214-5732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 19774 (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 1699198267
Jessica Spyder Carneol, LMT's National Provider Identifier is 1699198267, issued on Feb 1, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 13, 2015.