Individual provider · Type 1 NPI

Jessica Lyn Collins, LMT

Massage Therapist · Portland, OR

NPI number 1720528235 Active

Practice location

511 SW 10th Ave, Suite 610
Portland, OR 97205-2732

Mailing address

5224 SW Orchid St
Portland, OR 97219-5035

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23034 (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 1720528235

Jessica Lyn Collins, LMT's National Provider Identifier is 1720528235, issued on Mar 2, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 2, 2017.