Provider Demographics
NPI:1548735046
Name:RAP MANUAL THERAPY LLC
Entity Type:Organization
Organization Name:RAP MANUAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MASSAGE THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:O
Authorized Official - Last Name:ZAWADZKI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:503-987-0208
Mailing Address - Street 1:2373 NW 185TH AVE STE 1001
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-7076
Mailing Address - Country:US
Mailing Address - Phone:503-987-0208
Mailing Address - Fax:971-256-9922
Practice Address - Street 1:15455 NW GREENBRIER PKWY STE 120
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-8115
Practice Address - Country:US
Practice Address - Phone:503-987-0208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty