IndividualActive
Athena Rolph, LMT
NPI 1114219110 · Massage Therapist · Boring, OR
Provider details
- NPI number
- 1114219110
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18063 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
11943 Se 362nd Ave
Boring, OR 97009-8720
Phone: (971) 409-0949
Fax: (503) 663-0664
Approximate (ZIP-level) locationGet directions
Mailing address
11943 Se 362nd Ave
Boring, OR 97009-8720
Registry dates
- Enumerated
- 2011-05-09
- Last updated
- 2011-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.