Individual provider · Type 1 NPI

Travis Jonquil

Massage Therapist · Portland, OR

NPI number 1881025872 Active

Practice location

4511 SE Hawthorne Blvd, Suite 204
Portland, OR 97215-3170

Call (503) 809-1177 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19517 (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 1881025872

Travis Jonquil's National Provider Identifier is 1881025872, issued on Dec 2, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 2, 2013.