Individual provider · Type 1 NPI

Shelly Stephenson, LMT

Massage Therapist · Portland, OR

NPI number 1063889418 Active

Practice location

975 SE Sandy Blvd, Suite #108
Portland, OR 97214-1308

Call (503) 780-2621 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15516 (OR)

Massage Therapist: 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.

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About NPI 1063889418

Shelly Stephenson, LMT's National Provider Identifier is 1063889418, issued on Sep 1, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 1, 2015.