Individual provider · Type 1 NPI

Denise Lynn Fuller, LMT

Massage Therapist · Beaverton, OR

NPI number 1922363829 Active

Practice location

14754 SW Scholls Ferry Rd
Beaverton, OR 97007-9113

Call (503) 358-3385 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19130 (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 1922363829

Denise Lynn Fuller, LMT's National Provider Identifier is 1922363829, issued on Jul 7, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 11, 2012.