Individual provider · Type 1 NPI

Matia Divitt, LMT

Massage Therapist · Portland, OR

NPI number 1891017133 Active

Practice location

1625 NE Bryant St
Portland, OR 97211-4711

Call (503) 568-7847 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13600 (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 1891017133

Matia Divitt, LMT's National Provider Identifier is 1891017133, issued on Feb 26, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Feb 26, 2010.