JONATHAN MARK FESSLER BA FNTP LMT CA NPI 1629489190

NPI Information

NPI: 1629489190
Provider Name: JONATHAN MARK FESSLER, BA, FNTP, LMT, CA
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1825 NE BROADWAY ST STE F
PORTLAND, OR
ZIP 97232
Phone: (503) 830-0069
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Jonathan Mark Fessler, BA, FNTP, LMT, CA 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. Jonathan Mark Fessler, BA, FNTP, LMT, CA NPI is 1629489190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1825 NE BROADWAY ST STE F
PORTLAND, OR
ZIP 97232-433
Phone: (503) 830-0069

The enumeration date for this NPI number is 5/18/2014 and was last updated on 12/10/2019.

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		20420	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20420	OTHER	OREGON	LICENSE MASSAGE THERAPIST
2	1629489190	OTHER	OREGON	LMT

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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