Individual provider · Type 1 NPI

Austin Tyler Daniel, LMT

Massage Therapist · Portland, OR

NPI number 1811294838 Active

Practice location

2216 SE 50th Ave
Portland, OR 97215-3827

Call (503) 871-3183 Map

Fax (971) 302-6629

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16840 (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 1811294838

Austin Tyler Daniel, LMT's National Provider Identifier is 1811294838, issued on Feb 28, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 23, 2013.