Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE LUCKETT, LMT
Active Sole ProprietorJESSE LUCKETT, LMT is a Contractor healthcare provider located in PORTLAND, Oregon. NPI 1629337555 is currently active in the NPPES registry. Verify at CMS.
Contractor · PORTLAND, OR
Registration Details
- NPI Number
- 1629337555
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2012 (14.274431354888 yrs)
- Last Updated
- May 12, 2012
- License
-
7005 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
52 NE FREMONT STPORTLAND, OR, 972122027Browse OR providers · Browse ZIP 97212
- Phone
- 5033816636
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. AIMEE KRISTINE PERKINS | LMT | 1023106515 |
| CYNTHIA LYNN SHORT | LMT | 1861524316 |
| MS. ALLISON JAYNE MOTT | MASSAGE THERAPIST | 1265659536 |
| MAURI MCKITRICK | LMT | 1154525871 |
| MR. MARTIN D CARLSON | LMT, MMP | 1639362890 |
| MR. DANIEL S MULLOOLY | LMT | 1285820902 |
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.