NPI 1053664904

Katrina Martin, LMT

Practitioner Massage Therapist Tigard, OR

Practice location

Address: 11105 SW Cottonwood Ln, Tigard, OR 97223-4223
Phone: (503) 502-0223

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 4659 (OR)

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Registry record

NPI: 1053664904
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2012
Record last updated: 16 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.