Individual provider · Type 1 NPI

Jasper Moon, CPM, LMT

Massage Therapist · Milwaukie, OR

NPI number 1871809301 Active

Practice location

6744 SE Maplehurst Rd
Milwaukie, OR 97222-1938

Call (971) 678-2842 Map

Specialties and licenses

TaxonomyCodeLicense
Midwife 176B00000XNone listed
Doula 374J00000XNone listed
Massage Therapist Primary 225700000X18114 (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 1871809301

Jasper Moon, CPM, LMT's National Provider Identifier is 1871809301, issued on Aug 22, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 21, 2022.