Individual provider · Type 1 NPI

Tyler Shadoe Swim, LMT

Massage Therapist · Lake Oswego, OR

NPI number 1265892160 Active

Practice location

16088 Boones Ferry Rd
Lake Oswego, OR 97035-4370

Call (503) 376-6928 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18051 (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.

4 other providers at this address

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About NPI 1265892160

Tyler Shadoe Swim, LMT's National Provider Identifier is 1265892160, issued on Mar 4, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Mar 4, 2016.