KELLEY BURKE LMT - NPI 1558800219 - Massage Therapist in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Kelley Burke Lmt NPPES

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

KELLEY BURKE LMT (NPI 1558800219) is an individual massage therapist in Portland, Oregon, licensed in Oregon (10223) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1558800219

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameKELLEY BURKECredential: LMT

Location Address333 NE RUSSELL ST STE 200Portland, OR 97212-3762

Mailing Address333 Ne Russell St Ste 200Portland, OR 97212-3762 · (503) 289-1390

Phone(503) 289-1390

Sole ProprietorNo

Enumeration DateFebruary 14, 2017

✔ NPI 1558800219 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 · 10223

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.

333 NE RUSSELL ST STE 200, Portland, OR 97212

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