ALISSA K KIPP LMT NPI 1992159875

NPI Information

ALISSA K KIPP 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. ALISSA K KIPP LMT NPI is 1992159875. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ilo Wellness.

The provider's business location address is:

123 NE 6TH AVE
PORTLAND, OR
ZIP 97232-903
Phone: (503) 961-4036

The provider's authorized official is Alissa K Kipp .
The authorized official title is Owner and has the following contact phone number (503) 961-4036.

The enumeration date for this NPI number is 4/18/2016 and was last updated on 4/18/2016.

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:

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