Individual provider · Type 1 NPI

Alexa Pellegrino, LMT

Massage Therapist · Portland, OR

NPI number 1992381784 Active

Practice location

4922 N Vancouver Ave
Portland, OR 97217-2826

Call (503) 493-9398 Map

Mailing address

9208 N Ivanhoe St
Portland, OR 97203-2924

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24845 (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 1992381784

Alexa Pellegrino, LMT's National Provider Identifier is 1992381784, issued on Mar 22, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Mar 22, 2021.