NPI 1992159875 · live from the CMS NPI Registry
Alissa K Kipp Lmt
Massage Therapist in Portland, OR. National Provider Identifier 1992159875, active.
NPI record
| NPI | 1992159875 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 123 Ne 6th Ave, Portland, OR 97232 |
| Practice phone | 503-961-4036 |
| Enumerated | April 18, 2016 |
| Last updated | April 18, 2016 |
| Authorized official | Alissa Kipp, Owner |
| Other names | Ilo Wellness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 18918 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.