Individual provider · Type 1 NPI
Teresa J. Hubbell, LMT
Massage Therapist · Portland, OR
NPI number
1811479215
Active
Practice location
2207 NE Broadway St Ste 101
Portland, OR 97232-1693
Mailing address
11601 NW 33rd Ave
Vancouver, WA 98685-3599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 10963 (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 1811479215
Teresa J. Hubbell, LMT's National Provider Identifier is 1811479215, issued on Aug 31, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 30, 2021.