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Amanda K Van Pelt
Massage Therapist in Gresham, Oregon
NPI 1932808359

Amanda K Van Pelt is a Massage Therapist based in Gresham, OR. Amanda K Van Pelt practices in Gresham, OR. The NPI Number for Amanda K Van Pelt is 1932808359 and holds a License No. 61298 (Oregon).

The current practice location address for Amanda K Van Pelt is 307 Ne Kelly Ave, Gresham, OR and can be reached out via phone at 971-678-3178.

Location: 307 Ne Kelly Ave, Gresham, OR, 97030-7455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932808359
Provider Name
Amanda K Van Pelt
Credential
Provider Entity Type
Individual
Gender
Female
Address
307 Ne Kelly Ave, Gresham, OR, 97030-7455
Phone Number
971-678-3178
Fax Number
Provider Enumeration Date
02/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
307 Ne Kelly Ave
City
Gresham
State
Oregon
Zip
97030-7455
Phone Number
971-678-3178
Fax Number
person
Provider Business Mailing Address Details
Address
307 Ne Kelly Ave
City
Gresham
State
Oregon
Zip
97030-7455
Phone Number
971-678-3178
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
61298 (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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