ATHENA WRENNETTE ROLPH LMT NPI 1114219110

NPI Information

NPI: 1114219110
Provider Name: ATHENA WRENNETTE ROLPH, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
11943 SE 362ND AVE
BORING, OR
ZIP 97009
Phone: (971) 409-0949
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Athena Wrennette Rolph, LMT is a massage therapist in Boring, 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. Athena Wrennette Rolph, LMT NPI is 1114219110. 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:

11943 SE 362ND AVE
BORING, OR
ZIP 97009-720
Phone: (971) 409-0949
Fax: (503) 663-0664

The enumeration date for this NPI number is 5/9/2011 and was last updated on 5/9/2011.

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		18063	OREGON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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