JESSICA SPYDER CARNEOL LMT
NPI 1699198267
Massage Therapist in Portland, OR
Active since February 01, 2014
About Jessica Spyder Carneol Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA SPYDER CARNEOL LMT (NPI 1699198267) is an individual massage therapist in Portland, Oregon, licensed in Oregon (19774) and active in the NPI registry since February 2014.
NPPES Registry Identity
NPI1699198267
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA SPYDER CARNEOLCredential: LMT
Location Address3432 SE GRANT STPortland, OR 97214-5732
Mailing Address3432 Se Grant StPortland, OR 97214-5732 · (608) 516-2142
Phone(608) 516-2142
Sole ProprietorYes
Enumeration DateFebruary 1, 2014
Last NPPES UpdateNovember 13, 2015
✔ NPI 1699198267 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 · 19774
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.
3432 SE GRANT ST, Portland, OR 97214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699198267, enumerated as an "individual" on February 01, 2014.
The provider is located at 3432 SE GRANT ST PORTLAND, OR 97214 and the phone number is (608) 516-2142.
Massage Therapist with taxonomy code 225700000X.
