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MS. JAYDE THEOBALD LMT
NPI 1982937140
Massage Therapist in Portland, OR

Active since September 04, 2009
4642 SE MADISON ST, PORTLAND, OR 97215(503) 313-6626 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jayde Theobald Lmt NPPES

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

MS. JAYDE THEOBALD LMT (NPI 1982937140) is an individual massage therapist in Portland, Oregon, licensed in Oregon (16457) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1982937140
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. JAYDE THEOBALDCredential: LMT
Location Address4642 SE MADISON STPortland, OR 97215-2572
Mailing Address4642 Se Madison StPortland, OR 97215-2572 · (503) 313-6626
Phone(503) 313-6626
Sole ProprietorYes
Enumeration DateSeptember 4, 2009
Last NPPES UpdateOctober 30, 2014
✔ NPI 1982937140 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 · 16457
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.
4642 SE MADISON ST, Portland, OR 97215
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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 Jayde Theobald's NPI number?

The NPI number for Jayde Theobald is 1982937140. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Where is Jayde Theobald located?

Jayde Theobald practices at 4642 SE Madison St, Portland, OR 97215. The listed phone number is (503) 313-6626.

What is Jayde Theobald'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 Jayde Theobald was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.