Individual provider · Type 1 NPI

Susan Liesemer Lynch, LMT

Massage Therapist · Portland, OR

NPI number 1811274517 Active

Practice location

10211 SW Barbur Blvd, 206A
Portland, OR 97219-5933

Call (503) 828-2073 Map

Specialties and licenses

TaxonomyCodeLicense
Mechanotherapist 172M00000X14196 (OR)
Massage Therapist Primary 225700000X14196 (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 1811274517

Susan Liesemer Lynch, LMT's National Provider Identifier is 1811274517, issued on Nov 8, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 8, 2011.