NPI 1023633203 · live from the CMS NPI Registry
Lily Adolf, LMT
Massage Therapist in Troutdale, OR. National Provider Identifier 1023633203, active.
NPI record
| NPI | 1023633203 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 25603 Se Stark St, Troutdale, OR 97060 |
| Practice phone | 503-492-6851 |
| Enumerated | June 12, 2020 |
| Last updated | June 12, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 13198 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.