Wild Foliage Massage & Botanicals LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WILD FOLIAGE MASSAGE & BOTANICALS LLC

Practice address

2632 SE 25TH Ave Ste G
Portland, OR 97202-1285

Phone

(512) 809-3498

NPI assigned

Feb 26, 2026

Last updated

Feb 26, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Reyna Kohl, LMTNPI 1356208581

Title

LMT

Phone

(512) 809-3498

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reyna Kohl, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1356208581

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1811841687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 SE 43RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064103",
            "telephone_number": "512-809-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 SE 25TH AVE STE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021285",
            "telephone_number": "512-809-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD FOLIAGE MASSAGE & BOTANICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "KOHL",
        "authorized_official_first_name": "REYNA",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "512-809-3498",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Wilcox
• Robin Lee Wilcox, RN
• Ruth E Wilcox, MD
• Tim I Wilcox, M.D.
• Elijah Wilcynski
• Wild Hart Massage LLC
• Wild Heart Natural Medicine LLC
• Wild Hearts PDX
• Wild Hearts Wellness LLC
• Wild Lilac Child Development Community

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.