Individual provider · Type 1 NPI

Colleen Shea, LMT

Massage Therapist · Portland, OR

NPI number 1164799565 Active

Practice location

1928 NE 40th Ave
Portland, OR 97212-5310

Call (503) 287-2787 Map

Mailing address

3757 SE Milwaukie Ave, #3
Portland, OR 97202-3875

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16847 (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 1164799565

Colleen Shea, LMT's National Provider Identifier is 1164799565, issued on Nov 29, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 29, 2011.