Individual provider · Type 1 NPI

Samuel Kibani

Massage Therapist · Lake Oswego, OR

NPI number 1770164030 Active

Practice location

3 Monroe Pkwy Ste U
Lake Oswego, OR 97035-8875

Call (503) 386-5311 Map

Mailing address

1546 SW 172nd Ter Unit 401
Beaverton, OR 97003-4256

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26152 (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 1770164030

Samuel Kibani's National Provider Identifier is 1770164030, issued on Apr 19, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Apr 19, 2021.