BRIAN SODERHOLM LMT NPI 1053683813

NPI Information

NPI: 1053683813
Provider Name: BRIAN SODERHOLM, LMT
Classification: Mechanotherapist - 172M00000X
Entity Type: Individual
Address:
22400 SE STARK ST
GRESHAM, OR
ZIP 97030
Phone: (503) 491-5555
Get Directions

Brian Soderholm, LMT is a mechanotherapist in Gresham, OR. The provider is a practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. Brian Soderholm, LMT NPI is 1053683813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22400 SE STARK ST
GRESHAM, OR
ZIP 97030-656
Phone: (503) 491-5555
Fax: (503) 674-5005

The enumeration date for this NPI number is 2/8/2012 and was last updated on 2/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		18501	OREGON	No
2	172M00000X	Mechanotherapist		18501	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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