EDGE PERFORMANCE FITNESS LLC NPI 1285950428

NPI Information

EDGE PERFORMANCE FITNESS LLC 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. EDGE PERFORMANCE FITNESS LLC NPI is 1285950428. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1502 N AINSWORTH ST
PORTLAND, OR
ZIP 97217-706
Phone: (503) 265-8685

The provider's authorized official is William Amadon .
The authorized official title is General Manager and has the following contact phone number (503) 265-8685.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 4/13/2010.

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:

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