Individual provider · Type 1 NPI

Andrew C. Justice Jr., LMT

Massage Therapist · Portland, OR

NPI number 1750762357 Active

Practice location

4423 NE Tillamook St
Portland, OR 97213-1317

Call (503) 766-3683 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21181 (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 1750762357

Andrew C. Justice Jr., LMT's National Provider Identifier is 1750762357, issued on Jun 9, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Apr 27, 2017.