Alta Ulrich, LMT LLC
Organization Active NPI Massage Therapist · Gresham, OR
NPI 1174388250 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1174388250
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Massage Therapist 225700000X
- Legal business name
- ALTA ULRICH, LMT LLC
- Practice address
- 21707 SE Stark St
Gresham, OR 97030-2029 - Phone
- (503) 907-0890
- NPI assigned
- Feb 16, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- 884423374
Authorized official
- Name
- Alta Ulrich, LMT
- Title
- Owner
- Phone
- (503) 501-6312
Practitioners 1
-
Alta Ulrich, LMT
National Provider Directory
- Part of
- Alta Ulrich LMT LLC
Locations
21707 SE Stark St
Gresham, OR 97030
Phone (503) 907-0890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | Yes |
Addresses
Primary practice location
21707 SE Stark St
Gresham, OR 97030-2029
Mailing address
PO Box 3633
Gresham, OR 97030-0398
Phone (503) 907-0890
Other names
- Alta Massage Therapy
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.