Individual provider · Type 1 NPI

Kelsey Bostwick, LMT

Massage Therapist · Portland, OR

NPI number 1972214385 Active

Practice location

3430 SE Belmont St
Portland, OR 97214-4247

Call (503) 936-0104 Map

Mailing address

5125 NE Cleveland Ave
Portland, OR 97211-2611

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22713 (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 1972214385

Kelsey Bostwick, LMT's National Provider Identifier is 1972214385, issued on Dec 6, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Dec 6, 2022.