Individual provider · Type 1 NPI

Mary Kibbe, LMT

Massage Therapist · Portland, OR

NPI number 1831580422 Active

Practice location

443 NE Knott St
Portland, OR 97212-3108

Call (971) 231-5370 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12326 (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 1831580422

Mary Kibbe, LMT's National Provider Identifier is 1831580422, issued on Feb 18, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 18, 2015.