Individual provider · Type 1 NPI

Mandy Lynn Kruger, LMT

Massage Therapist · Portland, OR

NPI number 1922284199 Active

Practice location

125 NE Killingsworth St
Portland, OR 97211-2625

Call (971) 227-7567 Map

Mailing address

4004 NE Mallory Ave Apt 2
Portland, OR 97212-1065

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12673 (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 1922284199

Mandy Lynn Kruger, LMT's National Provider Identifier is 1922284199, issued on Jan 17, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 17, 2008.