Individual provider · Type 1 NPI

Mary Elizabeth Everitt, LMT

Massage Therapist · Portland, OR

NPI number 1700260148 Active

Practice location

1990 SE Ladd Ave
Portland, OR 97214-4757

Call (503) 820-8040 Map

Mailing address

710 SE 29th Ave
Portland, OR 97214-3028

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21480 (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 1700260148

Mary Elizabeth Everitt, LMT's National Provider Identifier is 1700260148, issued on Jul 15, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 15, 2015.