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

Mr. Robert Richard Ellestad, LMT

Individual provider Massage Therapist · NPI 1174762520

Mr. Robert Richard Ellestad, LMT is a Massage Therapist in Salem, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2009
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

300 Glen Creek Rd NW
Salem, OR 97304-3058
Phone: (503) 507-2730
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 14560 (OR)

Record details

NPI number1174762520
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedFebruary 9, 2009
Last updated in NPPESFebruary 9, 2009

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