Individual provider · Type 1 NPI

Kelsey Johnson, LMT

Massage Therapist · West Linn, OR

NPI number 1801467022 Active

Practice location

2500 Willamette Falls Dr Ste 207
West Linn, OR 97068-4722

Mailing address

3415 SE 74th Ave Apt 20
Portland, OR 97206-2455

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19706 (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 1801467022

Kelsey Johnson, LMT's National Provider Identifier is 1801467022, issued on Jul 8, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Linn, OR. The record was last updated on Jul 8, 2021.