Individual provider · Type 1 NPI

Jennifer L. Wyant, LMT, CMMP

Massage Therapist · Portland, OR

NPI number 1891042784 Active

Practice location

1224 SW Morrison St
Portland, OR 97205-2218

Call (503) 732-0011 Map

Fax (678) 666-7128

Mailing address

21131 S Jubb Rd
Estacada, OR 97023-8629

Other practice locations

  • 21131 S Jubb Rd, Estacada, OR 97023-8629 · (503) 732-0011

Specialties and licenses

TaxonomyCodeLicense
Mechanotherapist 172M00000X18843 (OR)
Massage Therapist Primary 225700000X18843 (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 1891042784

Jennifer L. Wyant, LMT, CMMP's National Provider Identifier is 1891042784, issued on Aug 9, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 17, 2018.