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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4198 (OR)
Mechanotherapist 172M00000X4198 (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.