Individual provider · Type 1 NPI
Shane Kooken-Hover, L.M.T.
Massage Therapist · Tigard, OR
NPI number
1154775799
Active
Practice location
12700 SW North Dakota St, Ste 180
Tigard, OR 97223-0802
Fax (503) 716-8783
Mailing address
11795 SW Tualatin Rd, #67
Tualatin, OR 97062-7444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 19795 (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
Other massage therapist providers in Tigard
- Barbara Susan Dieringer, LMTMassage Therapist Tigard, OR NPI 1003113481
- Rachel Lillian Musich, LMTMassage Therapist Tigard, OR NPI 1003500620
- Jittra Boonnim, LMTMassage Therapist Tigard, OR NPI 1013614197
- Samantha SuterMassage Therapist Tigard, OR NPI 1023560729
- Joanna Hutchins, LMTMassage Therapist Tigard, OR NPI 1033664529
- Angela Jean Davis, LMTMassage Therapist Tigard, OR NPI 1043345267
- Katrina Martin, LMTMassage Therapist Tigard, OR NPI 1053664904
- Myli Nagode, LMTMassage Therapist Tigard, OR NPI 1063244523
About NPI 1154775799
Shane Kooken-Hover, L.M.T.'s National Provider Identifier is 1154775799, issued on Apr 20, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tigard, OR. The record was last updated on Apr 20, 2016.