BRANDY PEACOCK LMT
NPI 1295204436
Massage Therapist in Portland, OR

Active since November 16, 2018
2121 W BURNSIDE ST, PORTLAND, OR 97210(503) 432-8348 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandy Peacock Lmt NPPES

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

BRANDY PEACOCK LMT (NPI 1295204436) is an individual massage therapist in Portland, Oregon and active in the NPI registry since November 2018. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1295204436
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameBRANDY PEACOCKCredential: LMT
Location Address2121 W BURNSIDE STPortland, OR 97210-3519
Mailing Address9512 Sw 47th AvePortland, OR 97219-5243 · (503) 964-3556
Sole ProprietorNo
Enumeration DateNovember 16, 2018
NPI 1295204436 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
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.
2121 W BURNSIDE ST, Portland, OR 97210

Secondary Practice Location 1

Location 12121 W Burnside StPortland, OR 97210-3519 · Phone (503) 432-8348

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
2121 W BURNSIDE ST
PORTLAND, OR 97210
Acupuncturist
2121 W BURNSIDE ST
PORTLAND, OR 97210
Acupuncturist
2121 W BURNSIDE ST
PORTLAND, OR 97210
Massage Therapist
2121 W BURNSIDE ST
PORTLAND, OR 97210
Massage Therapist
2121 W BURNSIDE ST
PORTLAND, OR 97210

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 Brandy Peacock's NPI number?

The NPI number for Brandy Peacock is 1295204436. It was assigned to this individual provider in the NPPES registry on November 16, 2018.

Where is Brandy Peacock located?

Brandy Peacock practices at 2121 W Burnside St, Portland, OR 97210. The listed phone number is (503) 432-8348.

What is Brandy Peacock'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 Brandy Peacock was last updated on November 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.