Individual provider · Type 1 NPI

Jesse Thomas Swim, LMT

Massage Therapist · Portland, OR

NPI number 1912419177 Active

Practice location

3220 NW 185th Ave Ste 100
Portland, OR 97229-3492

Call (503) 290-6636 Map

Fax (503) 213-7100

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23119 (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 1912419177

Jesse Thomas Swim, LMT's National Provider Identifier is 1912419177, issued on Oct 27, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 27, 2017.