Individual provider · Type 1 NPI

Eliza Lynn Crockett, LMT

Massage Therapist · Beaverton, OR

NPI number 1740338284 Active

Practice location

3800 SW Cedar Hills Blvd, Ste 193
Beaverton, OR 97005-2027

Call (503) 643-3827 Map

Mailing address

4200 SW 107th Ave, Apt 3402
Beaverton, OR 97005-3177

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6683 (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 1740338284

Eliza Lynn Crockett, LMT's National Provider Identifier is 1740338284, issued on Jan 8, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 8, 2007.