Individual provider · Type 1 NPI

Lilah Zicatela Perry, LMT

Massage Therapist · Portland, OR

NPI number 1700109352 Active

Practice location

1221 SE Madison St
Portland, OR 97214-3890

Call (503) 445-7767 Map

Fax (503) 459-4221

Mailing address

1116 SE Linn St
Portland, OR 97202-7095

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12011 (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 1700109352

Lilah Zicatela Perry, LMT's National Provider Identifier is 1700109352, issued on Mar 10, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 11, 2010.