Individual provider · Type 1 NPI

Alex Susbauer, LMT, BCSI (CM)

Massage Therapist · Portland, OR

NPI number 1982975157 Active

Practice location

2135 SE 76th Ave
Portland, OR 97215-4103

Call (503) 201-9449 Map

Fax (503) 777-6077

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8205 (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 1982975157

Alex Susbauer, LMT, BCSI (CM)'s National Provider Identifier is 1982975157, issued on Jan 19, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 19, 2012.