DANIELLE LEE TKACIK LMT
NPI 1932840535
Massage Therapist in Gresham, OR

Active since April 06, 2022
1733 E POWELL BLVD STE 102, GRESHAM, OR 97030(503) 740-6343(503) 974-3744 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2024, Apr 7, 2022 (2 updates tracked since 2022).

About Danielle Lee Tkacik Lmt NPPES

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

DANIELLE LEE TKACIK LMT (NPI 1932840535) is an individual massage therapist in Gresham, Oregon, licensed in Oregon (26808) and active in the NPI registry since April 2022. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1932840535
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDANIELLE LEE TKACIKCredential: LMT
Location Address1733 E POWELL BLVD STE 102Gresham, OR 97030-8013
Mailing Address1733 E Powell Blvd Ste 102Gresham, OR 97030-8013 · (503) 740-6343 · Fax (503) 974-3744
Fax(503) 974-3744
Sole ProprietorYes
Enumeration DateApril 6, 2022
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1932840535 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 · 26808
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.

1733 E POWELL BLVD STE 102, Gresham, OR 97030

Other Names 1

Other Name (5)Danika Tkacik Lmt

Secondary Practice Locations 3

Location 1335 S Broadway StEstacada, OR 97023 · Phone (503) 740-6343 · Fax (503) 974-3744
Location 21110 NE Wood Village Blvd Ste 23Wood Village, OR 97060-2668 · Phone (503) 740-6343 · Fax (503) 974-3744
Location 31722 NW Raleigh St Ste 417Portland, OR 97209-1753 · Phone (503) 740-6343 · Fax (503) 974-3744

Other Identifiers 1

Other1780448878Group Npi

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

Accepted Insurance

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Massage Therapist
1733 E POWELL BLVD STE 102
GRESHAM, OR 97030
Massage Therapist
1733 E POWELL BLVD STE 102
GRESHAM, OR 97030
Massage Therapist
1733 E POWELL BLVD STE 102
GRESHAM, OR 97030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932840535, enumerated as an "individual" on April 06, 2022.

The provider is located at 1733 E POWELL BLVD STE 102 GRESHAM, OR 97030 and the phone number is (503) 740-6343.

Massage Therapist with taxonomy code 225700000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.