Individual provider · Type 1 NPI

Lisa Shorett, LMT

Massage Therapist · Portland, OR

NPI number 1992195796 Active

Practice location

1235 SE Division St Ste 117
Portland, OR 97202-1085

Mailing address

3158 SE Lake Rd
Milwaukie, OR 97222-6898

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21048 (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 1992195796

Lisa Shorett, LMT's National Provider Identifier is 1992195796, issued on Jan 31, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jan 31, 2015.