Individual provider · Type 1 NPI

Jessica Glisson, LMT

Massage Therapist · Portland, OR

NPI number 1730441171 Active

Practice location

107 SE Washington St, SUITE#134
Portland, OR 97214-2103

Call (503) 236-6633 Map

Mailing address

1426 SE 25th Ave, Apt 5
Portland, OR 97214-3966

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18512 (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 1730441171

Jessica Glisson, LMT's National Provider Identifier is 1730441171, issued on Jun 12, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 9, 2012.