Healthcare Provider Details

I. General information

NPI: 1992627723
Provider Name (Legal Business Name): ZIMMER MASSAGE THERAPY & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2945 SE 73RD AVE
HILLSBORO OR
97129-6223
US

IV. Provider business mailing address

1134 S GINGER ST
CORNELIUS OR
97113-6812
US

V. Phone/Fax

Practice location:
  • Phone: 541-543-7366
  • Fax:
Mailing address:
  • Phone: 541-543-7366
  • Fax: 541-543-7366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. ARIEL ZIMMER
Title or Position: OWNER-OPERATOR
Credential: LMT
Phone: 541-543-7366