person
Krista Nicole Radetich, LMT
Massage Therapist in Portland, Oregon
NPI 1225479900

Krista Nicole Radetich is a Massage Therapist based in Portland, OR. Krista Nicole Radetich practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Krista Nicole Radetich is 1225479900 and holds a License No. 16345 (Oregon).

The current practice location address for Krista Nicole Radetich is 124 Sw Yamhill St Ste 200, Portland, OR and can be reached out via phone at 971-409-6725.

Location: 124 Sw Yamhill St Ste 200, Portland, OR, 97210-3275
person
Provider Profile Details
NPI Number
1225479900
Provider Name
Krista Nicole Radetich
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
124 Sw Yamhill St Ste 200, Portland, OR, 97210-3275
Phone Number
971-409-6725
Fax Number
Provider Enumeration Date
07/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
124 Sw Yamhill St Ste 200
City
State
Zip
97204-3019
Phone Number
971-409-6725
Fax Number
person
Provider Business Mailing Address Details
Address
124 Sw Yamhill St Ste 200
City
State
Zip
97204-3019
Phone Number
971-409-6725
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
16345 (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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