Individual provider · Type 1 NPI

Jessica Ruth Rodriguez, LMT

Massage Therapist · Portland, OR

NPI number 1952887705 Active

Practice location

2122 NW Quimby St
Portland, OR 97210-2622

Mailing address

2112 NW Quimby St Apt 417
Portland, OR 97210-2377

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23704 (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 1952887705

Jessica Ruth Rodriguez, LMT's National Provider Identifier is 1952887705, issued on Jul 16, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 16, 2018.