Individual provider · Type 1 NPI

Jaclyn R. Regis, LMT

Massage Therapist · Beaverton, OR

NPI number 1902251168 Active

Practice location

12750 SW 2nd St, Suite 102
Beaverton, OR 97005-2778

Call (971) 336-5134 Map

Mailing address

2212 SE Nordlund Ct
Hillsboro, OR 97123-6164

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X222313 (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 1902251168

Jaclyn R. Regis, LMT's National Provider Identifier is 1902251168, issued on Apr 25, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Apr 25, 2016.