Individual provider · Type 1 NPI
Kelly Goodsell, LMT
Massage Therapist · Forest Grove, OR
NPI number
1821860040
Active
Practice location
2004 Main St Ste 204
Forest Grove, OR 97116-7339
Mailing address
2529 Williams St
Forest Grove, OR 97116-3078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 26116 (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 1821860040
Kelly Goodsell, LMT's National Provider Identifier is 1821860040, issued on Oct 23, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Forest Grove, OR. The record was last updated on Oct 23, 2023.