Individual provider · Type 1 NPI

Michael John Defabio, LMT BS

Massage Therapist · Portland, OR

NPI number 1780847418 Active

Practice location

8538 SW Apple Way
Portland, OR 97225-1772

Call (503) 520-8743 Map

Fax (503) 297-5565

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13396 (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 1780847418

Michael John Defabio, LMT BS's National Provider Identifier is 1780847418, issued on Jul 2, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 2, 2008.