Organization · Type 2 NPI

Elite Body Therapy LLC

Massage Therapist · Portland, OR

NPI number 1861764862 Active

Practice location

4839 NE Martin Luther King Jr Blvd, Suite 201
Portland, OR 97211-3386

Mailing address

5803 SE Woodstock Blvd Ste 2
Portland, OR 97206-6705

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13636 (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 1861764862

Elite Body Therapy LLC's National Provider Identifier is 1861764862, issued on Feb 7, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 2, 2012.