Nathan David Banta, LMT

NPI #1174486120 in Clackamas, Oregon

Provider Information

NPI Number
1174486120
Entity Type
Individual
Name
Nathan David Banta, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Dec 6, 2025
Last Updated
Dec 6, 2025

Practice Location

Address
9895 SE SUNNYSIDE RD STE K
State
Oregon
ZIP Code
97015-9745
Phone
(503) 653-0400

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