Authentic Massage Therapy LLC

NPI #1295287068 in Beaverton, Oregon

Provider Information

NPI Number: 1295287068
Entity Type: Organization
Organization Name: Authentic Massage Therapy LLC
Primary Specialty: Massage Therapist
Enumeration Date: Oct 27, 2016
Last Updated: Oct 27, 2016

Practice Location

Address: 14631 SW MILLIKAN WAY STE 14
City: Beaverton
State: Oregon
ZIP Code: 97003-2999
Phone: (312) 532-3070

Authorized Official

Name: MRS. SVETLANA Y. HOPPE, MMP
Title: OWNER
Phone: (312) 532-3070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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