Misty Fall, LMT - Portland, OR

Misty Fall, LMT

Massage Therapist in Portland, Oregon

NPI 1316460124

Misty Fall is a Massage Therapist based in Portland, OR. Misty Fall practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Misty Fall is 1316460124 and holds a License No. 23135 (Oregon).

The current practice location address for Misty Fall is 1016 Se 12Th Ave, Portland, OR and can be reached out via phone at 971-303-9557.

Location: 1016 Se 12Th Ave, Portland, OR, 97211-7024

NPI Number

1316460124

Provider Name

Misty Fall

Credential

LMT

Provider Entity Type

Individual

Gender

Female

Address

1016 Se 12Th Ave, Portland, OR, 97211-7024

Phone Number

971-303-9557

Fax Number

Provider Enumeration Date

07/24/2017

Last Update Date

03/09/2024

Address

1016 Se 12Th Ave

City

Portland

State

Oregon

Zip

97214-2513

Phone Number

971-303-9557

Fax Number

Address

1016 Se 12Th Ave

City

Portland

State

Oregon

Zip

97214-2513

Phone Number

971-303-9557

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

23135 (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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