person
Nicholas Peterka, LMT
Massage Therapist in Portland, Oregon
NPI 1184264038

Nicholas Peterka is a Massage Therapist based in Portland, OR. Nicholas Peterka practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Nicholas Peterka is 1184264038 and holds a License No. 17741 (Oregon).

The current practice location address for Nicholas Peterka is 1400 Nw Marshall St Unit 108, Portland, OR and can be reached out via phone at 503-208-6297.

Location: 1400 Nw Marshall St Unit 108, Portland, OR, 97209-3367
person
Provider Profile Details
NPI Number
1184264038
Provider Name
Nicholas Peterka
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1400 Nw Marshall St Unit 108, Portland, OR, 97209-3367
Phone Number
503-208-6297
Fax Number
Provider Enumeration Date
01/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Nw Marshall St Unit 108
City
State
Zip
97209-3367
Phone Number
503-208-6297
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Nw Marshall St Unit 108
City
State
Zip
97209-3367
Phone Number
503-208-6297
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
17741 (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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