Individual provider · Type 1 NPI

Kori Stavig, LMT

Massage Therapist · Portland, OR

NPI number 1740797935 Active

Practice location

10224 SW Park Way Ste A
Portland, OR 97225-5010

Call (503) 297-1174 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23866 (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 1740797935

Kori Stavig, LMT's National Provider Identifier is 1740797935, issued on Jan 9, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 9, 2018.