Individual provider · Type 1 NPI

Trudy J. Zimmerly, LMT

Massage Therapist · Portland, OR

NPI number 1891050431 Active

Practice location

200 NE 20th Ave Ste 220
Portland, OR 97232-3094

Call (503) 830-4479 Map

Mailing address

3046 SE Sherman St
Portland, OR 97214-5661

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14093 (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 1891050431

Trudy J. Zimmerly, LMT's National Provider Identifier is 1891050431, issued on Jul 10, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 10, 2012.