Individual provider · Type 1 NPI

Jacob Smith, LMT

Massage Therapist · Portland, OR

NPI number 1972859676 Active

Practice location

8137 SW 40th Ave
Portland, OR 97219-3502

Call (503) 896-1396 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17775 (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 1972859676

Jacob Smith, LMT's National Provider Identifier is 1972859676, issued on Jul 31, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2012.