Individual provider · Type 1 NPI

Kelly Krug, LMT

Massage Therapist · Portland, OR

NPI number 1841881968 Active

Practice location

9129 NE Glisan St
Portland, OR 97220-5865

Call (608) 397-6821 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24445 (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 1841881968

Kelly Krug, LMT's National Provider Identifier is 1841881968, issued on Feb 1, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 1, 2021.