AMY NICOLE WEDDLE LMT
NPI 1043425655
Massage Therapist in Portland, OR
- Individual
- Female
- Massage Therapist
About AMY WEDDLE
This page provides the complete NPI Profile along with additional information for Amy Weddle, a provider established in Portland, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1043425655 assigned on May 2007. The practitioner's primary taxonomy code is 225700000X with license number 13880 (OR). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1043425655 Verify this NPI
- Provider Name
- AMY NICOLE WEDDLE LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4425 SW CORBETT AVE PORTLAND, OR 97239
- Location Phone
- (503) 225-9033
- Mailing Address
- 4930 SW 1ST AVE PORTLAND, OR 97239
- Mailing Phone
- (503) 545-1066
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-14-2007
- Last Update Date
- 07-08-2007
- 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.
- 13880
- 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.
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
PORTLAND, OR 97239
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043425655, enumerated as an "individual" on May 14, 2007.
The provider is located at 4425 SW CORBETT AVE PORTLAND, OR 97239 and the phone number is (503) 225-9033.
Massage Therapist with taxonomy code 225700000X.