Therapeutic Integrative Massage & Exercise, LLC

NPI #1184838518 in Tigard, Oregon

Provider Information

NPI Number: 1184838518
Entity Type: Organization
Organization Name: Therapeutic Integrative Massage & Exercise, LLC
Primary Specialty: Technician, Other
Enumeration Date: May 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 9860 SW HALL BLVD STE A
City: Tigard
State: Oregon
ZIP Code: 97223-8896
Phone: (503) 709-1568

Authorized Official

Name: TERESA JOANNE ALLEN, LMT
Title: ORGANIZER
Phone: (503) 709-1568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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