Individual provider · Type 1 NPI
Shawn Kimberly Lavallee
Massage Therapist · Christmas Valley, OR
NPI number
1114153210
Active
Practice location
87520 Bay Rd., North Lake Clinic
Christmas Valley, OR 97641
Fax (541) 576-2869
Mailing address
57209 Freemont St.
Silver Lake, OR 97638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 14450 (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.
Another provider at this address
About NPI 1114153210
Shawn Kimberly Lavallee's National Provider Identifier is 1114153210, issued on Jun 3, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Christmas Valley, OR. The record was last updated on Jun 3, 2009.