Provider Demographics
NPI:1184418428
Name:RESTORATIVE TOUCH MASSAGE
Entity type:Organization
Organization Name:RESTORATIVE TOUCH MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTHARD-GOLLOB
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:360-324-8824
Mailing Address - Street 1:2018 NW EVERETT ST APT 503
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-1049
Mailing Address - Country:US
Mailing Address - Phone:360-324-8824
Mailing Address - Fax:
Practice Address - Street 1:325 NW 21ST AVE STE 100C
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-1179
Practice Address - Country:US
Practice Address - Phone:360-324-8824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center