Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114219110 Individual Practitioner Female Practitioner

Athena Wrennette Rolph , LMT

Massage Therapist • Boring, OR

Professional Overview & Biography Verified Profile Summary

Athena Rolph, LMT is a registered healthcare professional specializing in Massage Therapist in Boring, OR. Practice services are available at 11943 SE 362ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11943 Se 362nd Ave

Boring, OR 970098720

Telephone 9714090949
Fax 5036630664
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Boring, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Boring, OR (6180 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License OR 18063

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 09, 2011

NPI status registered as active in NPPES database

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Updated Practice Location May 09, 2011

Registered at 11943 SE 362ND AVE, BORING, OR 970098720 (Tel: 9714090949)

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Updated Business Mailing Address May 09, 2011

Registered at 11943 SE 362ND AVE, BORING, OR 970098720 (Tel: 9714090949)

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Provider Name / Credentials Updated May 09, 2011

Recorded as ATHENA ROLPH, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2011

Massage Therapist (License #18063 in OR)

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Initial NPI Registration & Enumeration May 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114219110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2011
Last Update: May 09, 2011
Sole Proprietor: Yes

Mailing Address

11943 Se 362nd Ave

Boring, OR 970098720

Phone: 9714090949

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.