Alta Ulrich, Lmt LLC
Massage Therapist in Gresham, OR. Organization (NPI-2).
NPI number1174388250
StatusActive
Last updated in NPPESMar 5, 2024
Details
- NPI
- 1174388250
- Entity type
- Organization (NPI-2)
- Legal business name
- Alta Ulrich, Lmt LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 16, 2024
- Certification date
- Mar 5, 2024
- Last updated
- Mar 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Other names
- Alta Massage Therapy (Doing Business As)
Practice location
21707 Se Stark StGresham, OR 97030-2029
Phone 503-907-0890
Mailing address
Po Box 3633Gresham, OR 97030-0398
Phone 503-907-0890 · Fax 833-638-0790
Authorized official
Alta Ulrich
Owner
5035016312
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