IndividualActive
Amanda Van Pelt
NPI 1932808359 · Massage Therapist · Gresham, OR
Provider details
- NPI number
- 1932808359
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 61298 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
307 Ne Kelly Ave
Gresham, OR 97030-7455
Phone: (971) 678-3178
Approximate (ZIP-level) locationGet directions
Mailing address
307 Ne Kelly Ave
Gresham, OR 97030-7455
Registry dates
- Enumerated
- 2023-02-24
- Last updated
- 2023-02-24
- Certified
- 2023-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.