Individual provider · Type 1 NPI

Benny Ly, LMT

Massage Therapist · Portland, OR

NPI number 1750041331 Active

Practice location

2808 NE Martin Luther King Jr Blvd Ste C
Portland, OR 97212-3061

Call (503) 473-3667 Map

Mailing address

7011 SE Alberta St
Portland, OR 97206-9421

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26616 (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 1750041331

Benny Ly, LMT's National Provider Identifier is 1750041331, issued on Dec 23, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 31, 2023.