ELEMENT WELLNESS AND SPORTS REHABILITATION NPI 1043694433

NPI Information

ELEMENT WELLNESS AND SPORTS REHABILITATION 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. ELEMENT WELLNESS AND SPORTS REHABILITATION NPI is 1043694433. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5331 SW MACADAM AVE STE 105
PORTLAND, OR
ZIP 97239-848
Phone: (503) 445-7999
Fax: (503) 445-7997

The provider's authorized official is Enoch Wilson .
The authorized official title is Massage Therapist and has the following contact phone number (503) 445-7999.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.

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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