MUDRA MASSAGE LLC NPI 1417293721

NPI Information

MUDRA MASSAGE, 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. MUDRA MASSAGE, LLC NPI is 1417293721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2627 NE BROADWAY ST
PORTLAND, OR
ZIP 97232-720
Phone: (503) 706-2225

The provider's authorized official is Nancy Failla .
The authorized official title is Owner and has the following contact phone number (503) 706-2225.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/14/2012.

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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