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Georgia Fountas, LMT
Massage Therapist in Gresham, Oregon
NPI 1073869707

Georgia Fountas is a Massage Therapist based in Gresham, OR. Georgia Fountas practices in Gresham, OR and has the professional credentials of LMT. The NPI Number for Georgia Fountas is 1073869707 and holds a License No. 19041 (Oregon).

The current practice location address for Georgia Fountas is 22400 Se Stark St, Gresham, OR and can be reached out via phone at 503-491-5555.

Location: 22400 Se Stark St, Gresham, OR, 97030-2656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073869707
Provider Name
Georgia Fountas
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
22400 Se Stark St, Gresham, OR, 97030-2656
Phone Number
503-491-5555
Fax Number
Provider Enumeration Date
07/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22400 Se Stark St
City
Gresham
State
Oregon
Zip
97030-2656
Phone Number
503-491-5555
Fax Number
person
Provider Business Mailing Address Details
Address
22400 Se Stark St
City
Gresham
State
Oregon
Zip
97030-2656
Phone Number
503-491-5555
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
19041 (Oregon)
Definition
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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