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ELITE BODY THERAPY LLC
NPI 1861764862
Massage Therapist in Portland, OR

Active since February 07, 2012
4839 NE MARTIN LUTHER KING JR BLVD, SUITE 201, PORTLAND, OR 97211(503) 544-7778 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Body Therapy Llc NPPES

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

ELITE BODY THERAPY LLC (NPI 1861764862) is a healthcare organization registered as a massage therapist in Portland, Oregon and active in the NPI registry since February 2012. The organization lists Jessie Thompson, Owner Licensed Massage Therapist, as its authorized official.

NPPES Registry Identity

NPI1861764862
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameELITE BODY THERAPY LLC
Location Address4839 NE MARTIN LUTHER KING JR BLVD, SUITE 201Portland, OR 97211-3386
Mailing Address5803 Se Woodstock Blvd Ste 2Portland, OR 97206-6705 · (503) 544-7778
Phone(503) 544-7778
Organization SubpartNo
Authorized OfficialJessie ThompsonOwner Licensed Massage Therapist · (503) 544-7778
Enumeration DateFebruary 7, 2012
Last NPPES UpdateAugust 2, 2012
✔ NPI 1861764862 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 · 13636
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.
4839 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97211
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CYNTHIA MARIE FOWLER M.D.
Psychiatry & Neurology (Psychiatry)
4839 NE MARTIN LUTHER KING JR BLVD, SUITE 204
PORTLAND, OR 97211
Multnomah County (503) 953-4491

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 Elite Body Therapy LLC's NPI number?

The NPI number for Elite Body Therapy LLC is 1861764862. It was assigned to this organization in the NPPES registry on February 7, 2012.

Where is Elite Body Therapy LLC located?

Elite Body Therapy LLC is located at 4839 NE Martin Luther King Jr Blvd Suite 201, Portland, OR 97211. The listed phone number is (503) 544-7778.

What is Elite Body Therapy LLC'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 Elite Body Therapy LLC was last updated on August 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.