Individual provider · Type 1 NPI

Keziah Joy Carter, LMT

Massage Therapist · Portland, OR

NPI number 1912410911 Active

Practice location

6510 NE Siskiyou St
Portland, OR 97213-4572

Call (503) 290-4757 Map

Mailing address

6334 N Depauw St
Portland, OR 97203-5124

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23490 (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 1912410911

Keziah Joy Carter, LMT's National Provider Identifier is 1912410911, issued on Nov 13, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 13, 2017.