Individual provider · Type 1 NPI

Colleen Genuine, LMT

Massage Therapist · Portland, OR

NPI number 1700267614 Active

Practice location

6037 SE Stark St # 1
Portland, OR 97215-1933

Call (971) 409-7362 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17394 (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 1700267614

Colleen Genuine, LMT's National Provider Identifier is 1700267614, issued on Jun 16, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 16, 2015.