Individual provider · Type 1 NPI

Michael Thomas Monteblanco

Massage Therapist · Portland, OR

NPI number 1801367768 Active

Practice location

3716 SE International Way
Portland, OR 97222-6001

Mailing address

12505 SW North Dakota St Apt 1003
Tigard, OR 97223-3289

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24573 (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 1801367768

Michael Thomas Monteblanco's National Provider Identifier is 1801367768, issued on Dec 17, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 17, 2018.