KELLY ANNE SMITH L.M.T. NPI 1184074130

NPI Information

NPI: 1184074130
Provider Name: KELLY ANNE SMITH, L.M.T.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1971 NW OVERTON ST
ALBA MASSAGE & BODYWORK
PORTLAND, OR
ZIP 97209
Phone: (503) 734-0973
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Kelly Anne Smith, L.M.T. is a massage therapist in Portland, OR. The provider is 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. Kelly Anne Smith, L.M.T. NPI is 1184074130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1971 NW OVERTON ST
ALBA MASSAGE & BODYWORK
PORTLAND, OR
ZIP 97209-618
Phone: (503) 734-0973

The enumeration date for this NPI number is 6/20/2016 and was last updated on 6/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		19641	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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