NATHAN DAVID BANTA LMT
NPI 1174486120
Massage Therapist in Clackamas, OR

Q: What is Nathan Banta's NPI number?

The NPI number for Nathan Banta is 1174486120. It was assigned to this individual provider in the NPPES registry on December 6, 2025.

Q: What is Nathan Banta's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Banta was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 06, 2025

9895 SE SUNNYSIDE RD STE K, CLACKAMAS, OR 97015(503) 653-0400 Get Directions Write a Review

NPPES record last updated: December 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nathan David Banta Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN DAVID BANTA LMT (NPI 1174486120) is an individual massage therapist in Clackamas, Oregon, licensed in Oregon (28831) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1174486120

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameNATHAN DAVID BANTACredential: LMT

Location Address9895 SE SUNNYSIDE RD STE KClackamas, OR 97015-9745

Mailing Address2195 Nw 18th Ave Apt 652Portland, OR 97209-2478 · (503) 660-6845

Phone(503) 653-0400

Sole ProprietorNo

Enumeration DateDecember 6, 2025

NPPES CertifiedDecember 6, 2025

✔ NPI 1174486120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in OR · 28831

Definition

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.

9895 SE SUNNYSIDE RD STE K, Clackamas, OR 97015

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Banta's NPI number?

The NPI number for Nathan Banta is 1174486120. It was assigned to this individual provider in the NPPES registry on December 6, 2025.

Where is Nathan Banta located?

Nathan Banta practices at 9895 SE Sunnyside Rd Ste K, Clackamas, OR 97015. The listed phone number is (503) 653-0400.

What is Nathan Banta's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Nathan Banta was last updated on December 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.