RESTORE MASSAGE THERAPY INC NPI 1720481518

NPI Information

NPI: 1720481518
Provider Name: RESTORE MASSAGE THERAPY, INC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
1922 21ST AVE
FOREST GROVE, OR
ZIP 97116
Phone: (503) 701-7714
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RESTORE MASSAGE THERAPY, INC is a massage therapist in Forest Grove, 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. RESTORE MASSAGE THERAPY, INC NPI is 1720481518. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1922 21ST AVE
FOREST GROVE, OR
ZIP 97116-638
Phone: (503) 701-7714

The provider's authorized official is Melinda Grace Apodaca .
The authorized official title is Owner/ Massage Therapist and has the following contact phone number (503) 701-7714.

The enumeration date for this NPI number is 10/7/2014 and was last updated on 10/7/2014.

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		11539	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	225700000X	OTHER	OREGON	MASSAGE THERAPIST

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: 5/5/2024

NPI Synchronization or Removal

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