Individual provider · Type 1 NPI
Beatrice Angelina Rebullosa, LMT
Massage Therapist · Wilsonville, OR
NPI number
1700217825
Active
Practice location
8550 SW Ash Meadows Rd Apt 425
Wilsonville, OR 97070-4027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 20142 (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 1700217825
Beatrice Angelina Rebullosa, LMT's National Provider Identifier is 1700217825, issued on Nov 30, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wilsonville, OR. The record was last updated on Nov 30, 2013.