Individual provider · Type 1 NPI

Concetta Marie Antonelli, L.M.T.

Massage Therapist · Lake Oswego, OR

NPI number 1770764797 Active

Practice location

890 Avenue F
Lake Oswego, OR 97034

Call (503) 349-7038 Map

Mailing address

11375 SE 33rd Ave
Milwaukie, OR 97222-6754

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7449 (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 1770764797

Concetta Marie Antonelli, L.M.T.'s National Provider Identifier is 1770764797, issued on Nov 19, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Nov 19, 2007.