Individual provider · Type 1 NPI

Victoria D. Lathrop, LMT

Massage Therapist · Portland, OR

NPI number 1982046249 Active

Practice location

17221 SE Divistion St S-21
Portland, OR 97236

Fax (503) 760-0753

Mailing address

1421 SE 50th Ave
Portland, OR 97215-2611

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18569 (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 1982046249

Victoria D. Lathrop, LMT's National Provider Identifier is 1982046249, issued on Jul 26, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 26, 2013.