Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kersey D Fitzpatrick, LMT29571

Individual provider Massage Therapist · NPI 1528915592

Kersey D Fitzpatrick, LMT29571 is a Massage Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2026.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

1016 SE 12th Ave Ofc 7
Portland, OR 97214-2513
Phone: (509) 531-3449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 29571 (OR)

Record details

NPI number1528915592
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT29571
Sole proprietorNo
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

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