BREE AUDRESE BIZZELL-MILLER LMT - NPI 1700340601 - 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 Bree Audrese Bizzell-miller Lmt NPPES

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

BREE AUDRESE BIZZELL-MILLER LMT (NPI 1700340601) is an individual massage therapist in Portland, Oregon, licensed in Oregon (24021) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1700340601

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameBREE AUDRESE BIZZELL-MILLERCredential: LMT

Location Address936 SE ANKENY STPortland, OR 97214-1300

Mailing Address936 Se Ankeny StPortland, OR 97214-1300 · (503) 232-3215

Phone(503) 232-3215

Sole ProprietorNo

Enumeration DateJanuary 24, 2019

✔ NPI 1700340601 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 · 24021

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.

936 SE ANKENY ST, Portland, OR 97214

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