Individual provider · Type 1 NPI

Shelly Lynn Henderson, LMT

Massage Therapist · Clackamas, OR

NPI number 1184071722 Active

Practice location

10001 SE Sunnyside Rd
Clackamas, OR 97015-5746

Call (503) 908-0881 Map

Mailing address

1615 NE Bryant St
Portland, OR 97211-4711

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21699 (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 1184071722

Shelly Lynn Henderson, LMT's National Provider Identifier is 1184071722, issued on May 23, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clackamas, OR. The record was last updated on May 23, 2016.