Individual provider · Type 1 NPI

Leanida Polushkin, LMT

Massage Therapist · Woodburn, OR

NPI number 1952051401 Active

Practice location

33933 S Meridian Rd
Woodburn, OR 97071-8774

Call (907) 399-0708 Map

Mailing address

39173 Jeffrey Rd
Monmouth, OR 97361-9613

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X26488 (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 1952051401

Leanida Polushkin, LMT's National Provider Identifier is 1952051401, issued on Mar 28, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Woodburn, OR. The record was last updated on Mar 28, 2022.