IMIA ALEXANDRA HOLSTON LMT
NPI 1790334910
Massage Therapist in Portland, OR

Active since September 10, 2019
4515 SW CORBETT AVE, PORTLAND, OR 97239(503) 224-5464 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imia Alexandra Holston Lmt NPPES

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

IMIA ALEXANDRA HOLSTON LMT (NPI 1790334910) is an individual massage therapist in Portland, Oregon, licensed in Oregon (25192) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1790334910
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameIMIA ALEXANDRA HOLSTONCredential: LMT
Location Address4515 SW CORBETT AVEPortland, OR 97239-4289
Mailing Address4409 Ne Killingsworth St Unit 103Portland, OR 97218-1465 · (773) 504-4804
Sole ProprietorYes
Enumeration DateSeptember 10, 2019
NPI 1790334910 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 · 25192
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.
4515 SW CORBETT AVE, Portland, OR 97239

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

Chiropractor
4515 SW CORBETT AVE
PORTLAND, OR 97239
Massage Therapist
4515 SW CORBETT AVE
PORTLAND, OR 97239
Chiropractor
4515 SW CORBETT AVE
PORTLAND, OR 97239
Massage Therapist
4515 SW CORBETT AVE
PORTLAND, OR 97239
Massage Therapist
4515 SW CORBETT AVE
PORTLAND, OR 97239
Chiropractor
4515 SW CORBETT AVE
PORTLAND, OR 97239
Acupuncturist
4515 SW CORBETT AVE
PORTLAND, OR 97239
Chiropractor
4515 SW CORBETT AVE
PORTLAND, OR 97239

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 Imia Holston's NPI number?

The NPI number for Imia Holston is 1790334910. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Imia Holston located?

Imia Holston practices at 4515 SW Corbett Ave, Portland, OR 97239. The listed phone number is (503) 224-5464.

What is Imia Holston'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 Imia Holston was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.