Imia Alexandra Holston, LMT - Portland, OR

Imia Alexandra Holston, LMT

Massage Therapist in Portland, Oregon

NPI 1790334910

Imia Alexandra Holston is a Massage Therapist based in Portland, OR. Imia Alexandra Holston practices in Portland, OR and has the professional credentials of LMT. The NPI Number for Imia Alexandra Holston is 1790334910 and holds a License No. 25192 (Oregon).

The current practice location address for Imia Alexandra Holston is 4515 Sw Corbett Ave, Portland, OR and can be reached out via phone at 503-224-5464.

Location: 4515 Sw Corbett Ave, Portland, OR, 97218-1465

NPI Number

1790334910

Provider Name

Imia Alexandra Holston

Credential

LMT

Provider Entity Type

Individual

Gender

Female

Address

4515 Sw Corbett Ave, Portland, OR, 97218-1465

Phone Number

503-224-5464

Fax Number

Provider Enumeration Date

09/10/2019

Last Update Date

03/10/2024

Address

4515 Sw Corbett Ave

City

Portland

State

Oregon

Zip

97239-4289

Phone Number

503-224-5464

Fax Number

Address

4515 Sw Corbett Ave

City

Portland

State

Oregon

Zip

97239-4289

Phone Number

503-224-5464

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

25192 (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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