MISS Alyssa Luanna Richardson, LMT

NPI #1144527250 in Tigard, Oregon

Provider Information

NPI Number: 1144527250
Entity Type: Individual
Name: MISS Alyssa Luanna Richardson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 25, 2011
Last Updated: Feb 25, 2011

Practice Location

Address: 10500 SW GREENBURG RD
Address 2: SUITE 200
City: Tigard
State: Oregon
ZIP Code: 97223-1406
Phone: (503) 684-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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