Individual provider · Type 1 NPI

Carlee A. Kinnaman, LMT

Massage Therapist · Portland, OR

NPI number 1912325192 Active

Practice location

1135 SE Salmon St, Suite L3
Portland, OR 97214-3375

Mailing address

12580 SE 23rd Ave
Milwaukie, OR 97222-7918

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17239 (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 1912325192

Carlee A. Kinnaman, LMT's National Provider Identifier is 1912325192, issued on Apr 3, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 24, 2016.