DEEP GROUND MASSAGE & BODYWORK
NPI 1033663620
Massage Therapist in Portland, OR
- Organization
- Massage Therapist
About DEEP GROUND MASSAGE & BODYWORK
This page provides the complete NPI Profile along with additional information for Deep Ground Massage & Bodywork, a provider established in Portland, Oregon operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1033663620 assigned on August 2016. The practitioner's primary taxonomy code is 225700000X with license number 18138 (OR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Stephanie Lavon Trotter Lmt (Owner)
- NPI
- 1033663620 Verify this NPI
- Provider Name
- DEEP GROUND MASSAGE & BODYWORK
- Entity Type
- Organization
- Location Address
- 1725 SE HAWTHORNE BLVD PORTLAND, OR 97214
- Location Phone
- (503) 926-4045
- Mailing Address
- 4935 SE 74TH AVE PORTLAND, OR 97206
- Mailing Phone
- (503) 926-4045
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2016
- Last Update Date
- 08-11-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 18138
- License State
- OR
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033663620, enumerated as an "organization" on August 11, 2016.
The provider is located at 1725 SE HAWTHORNE BLVD PORTLAND, OR 97214 and the phone number is (503) 926-4045.
Massage Therapist with taxonomy code 225700000X.
