Cecil Richard Herndon , LMT
Massage Therapist • Gresham, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cecil Herndon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Cecil Herndon, LMT was a registered Massage Therapist practicing in Gresham, OR. Throughout an active medical career spanning 7 years, Cecil Herndon provided care at the practice location at 1748 NW FAIRVIEW DR until profile deactivation on 2020-10-13.
Practice Location & Contact Primary Location
1748 Nw Fairview Dr
Gresham, OR 970303842
Specialty Benchmarks & Practice Insights
Comparative analytics for Massage Therapist in Gresham, OR
Practicing in Gresham, OR (6180 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 225700000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Licensed Massage Therapist
Specialist
Specialist
Licensed Massage Therapist
Specialist
Specialist/Technologist, Other
Massage Therapist
Licensed Massage Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 13, 2020
NPI status registered as active in NPPES database
Registered at 1748 NW FAIRVIEW DR, GRESHAM, OR 970303842 (Tel: 5034923910)
Registered at 1748 NW FAIRVIEW DR, GRESHAM, OR 970303842 (Tel: 5034923910)
Recorded as CECIL HERNDON, L.M.T.
Massage Therapist (License #11094 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1748 Nw Fairview Dr
Gresham, OR 970303842
Phone: 5034923910
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