Ausa Peacock, LMT 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. Ausa Peacock, LMT NPI is 1720331366. 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:
833 SE MAIN ST # 423
PORTLAND, OR
ZIP 97214-454
Phone: (503) 583-2872
The enumeration date for this NPI number is 10/19/2012 and was last updated on 10/19/2012.