Elizabeth Brodsky, LMT
Massage Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1982242384
StatusActive
Last updated in NPPESDec 16, 2019
Details
- NPI
- 1982242384
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Brodsky
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2019
- Certification date
- Dec 16, 2019
- Last updated
- Dec 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 23836 | OR | Yes |
Practice location
221 Se 11th AvePortland, OR 97214-1357
Phone 971-279-4454
Mailing address
2304 N Schofield StPortland, OR 97217-6830
Phone 415-816-2899
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