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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHAN DAVID BANTA, LMT

Active

NATHAN DAVID BANTA, LMT is a Massage Therapist healthcare provider located in CLACKAMAS, Oregon. NPI 1174486120 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · CLACKAMAS, OR

Registration Details

NPI Number
1174486120
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2025 (0.66428786262551 yrs)
Last Updated
Dec 6, 2025
License
28831 (OR)

Practice Information

Address
9895 SE SUNNYSIDE RD STE K
CLACKAMAS, OR, 970159745
Browse OR providers · Browse ZIP 97015
Phone
5036530400
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in CLACKAMAS, OR

Name Credential NPI
CASEY BROOME LMT 1225088545
MRS. JESSICA ANN JACKSON L.M.T 1033370101
RAMONA P DIPROFIO LMT 1619290350
ANDREA LEAH MENDOZA LMT 1366756769
VICTORIA GRIGGS LMT 1104125632
KELSIE BACH LMT 1205135738
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.