Individual provider · Type 1 NPI

Breton Dan Simmons, LMT

Massage Therapist · Portland, OR

NPI number 1952537037 Active

Practice location

16742 SE Division St
Portland, OR 97236-1414

Call (971) 285-7868 Map

Mailing address

12522 SW 123rd Ave
Tigard, OR 97223-3058

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11607 (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 1952537037

Breton Dan Simmons, LMT's National Provider Identifier is 1952537037, issued on Jun 3, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jun 3, 2009.