Whalio Doctors

NPI 1093013211

Aarisa Elysianne Smith, LMT

Practitioner Mechanotherapist Portland, OR

Practice location

Address
443 NE Knott St # 6, Portland, OR 97212-3108
Phone
(760) 613-5022
Mailing address
4306 SE Washington St, Milwaukie, OR 97222-5356

Registered specialties (2)

Mechanotherapist Primary
Other Service Providers Taxonomy 172M00000X Licence LMT 15732 (OR)
Mechanotherapist
Other Service Providers Taxonomy 172M00000X Licence MA 60043874 (WA)

Registry record

NPI
1093013211
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Mar 2011
Record last updated
16 Aug 2021

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.