Katherine Distefano in Portland - Massage Therapist

Katherine Distefano - NPI 1891852224

Katherine Distefano is a Massage Therapist in Portland, Oregon. Katherine Distefano practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Katherine Distefano is 1891852224. The last update date is 2020-12-01.

Katherine Distefano's current location address is 5964 Ne 55th Ave, Portland, Oregon. You can contact this provider via phone number 5035447810. The mailing address for Katherine Distefano is 5964 Ne 55th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Katherine Distefano
Address 5964 Ne 55th Ave, Portland, Oregon
Phone Number 5035447810
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1891852224
Provider Enumeration Date 2007-01-03
Last Updated Date 2020-12-01

Provider Mailing Address Detail

Address 5964 Ne 55th Ave
City Portland
State Oregon (OR)
Post Code 972182373
Phone Number 5035447810
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No 11090
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.

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FAQs about Katherine Distefano

What is the Katherine Distefano's 1891852224?

The Katherine Distefano's NPI (National Provider Identifier) Number is 1891852224. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Katherine Distefano is physically located?

The Katherine Distefano is physically situated at the following address: 5964 Ne 55Th Ave, Portland, OR, 972182373.

What is the area of specialization for Katherine Distefano, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Katherine Distefano is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.

When did the Katherine Distefano receive its 1891852224?

The Katherine Distefano was issued its 1891852224 on 2007-01-03, which is the date when the organization was assigned this unique identifier.

When was the information regarding Katherine Distefano most recently updated?

The details pertaining to the Katherine Distefano, including its address, specialty, and other relevant information, were last refreshed on 2020-12-01.

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