OrganizationActive
Alta Ulrich, Lmt LLC
NPI 1174388250 · Massage Therapist · Gresham, OR
Provider details
- NPI number
- 1174388250
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- 884423374
- Organization subpart
- Yes
- Authorized official
- Alta Ulrich, Owner(503) 501-6312
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21707 Se Stark St
Gresham, OR 97030-2029
Phone: (503) 907-0890
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3633
Gresham, OR 97030-0398
Other names (DBA / former)
- Doing business as
- Alta Massage Therapy
- Doing business as
- Alta Massage Therapy
Registry dates
- Enumerated
- 2024-02-16
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.