Individual provider · Type 1 NPI
Glenath Eleanor Moyle, LMT, NCBTMB
Massage Therapist · Beaverton, OR
NPI number
1841452042
Active
Practice location
4931 SW Chestnut Pl
Beaverton, OR 97005-3570
Fax (503) 213-5941
Mailing address
PO Box 25561
Portland, OR 97298-0561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 4198 (OR) |
| Mechanotherapist | 172M00000X | 4198 (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 1841452042
Glenath Eleanor Moyle, LMT, NCBTMB's National Provider Identifier is 1841452042, issued on Jun 28, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Jun 30, 2008.