Doctor Name: | MR. MICHAEL PAUL REID |
NPI Number: | 1336348408 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.T. |
License Number: | 13970 |
Business Practice Address: | 559 Glatt Cir Woodburn, OR - 970719675 |
Business Phone Number: | 5039814591 |
Business Fax Number: | 5039823308 |
Mailing Address: | 22551 Boones Ferry Rd Ne, AURORA |
State: | OR |
Postal Code: | 970029409 |
Phone Number: | 5036785117 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 13970 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |