NPI 1720212459 · live from the CMS NPI Registry
Sylvia Allred, LMT, LMP
Massage Therapist in Portland, OR. National Provider Identifier 1720212459, active.
NPI record
| NPI | 1720212459 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2915 Ne Broadway St, Portland, OR 97232 |
| Practice phone | 503-734-0594 |
| Mailing address | 2726 Ne Alberta St, Portland, OR 97211 |
| Enumerated | May 10, 2009 |
| Last updated | May 10, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 13920 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.