NATHAN BANTA, LMT

Massage Therapist

Active Individual
NPI: 1174486120

Practice Address

9895 SE SUNNYSIDE RD STE K
Clackamas, OR 97015

Phone: (503) 653-0400

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 28831 (OR)

Frequently Asked Questions

NPI 1174486120 is the National Provider Identifier for NATHAN BANTA, LMT, a Massage Therapist provider located in Clackamas, OR. This NPI was enumerated on December 6, 2025.
NATHAN BANTA, LMT practices at 9895 SE SUNNYSIDE RD STE K, Clackamas, OR 97015.

Quick Facts

NPI
1174486120
Type
Individual
Enumerated
Dec 6, 2025
Last Updated
Dec 6, 2025

Nearby Providers