Individual provider · Type 1 NPI

Shane Dylan Adair, LMT

Massage Therapist · Portland, OR

NPI number 1295340057 Active

Practice location

2934 SE Stephens St
Portland, OR 97214-4960

Call (702) 721-5357 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23923 (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 1295340057

Shane Dylan Adair, LMT's National Provider Identifier is 1295340057, issued on Sep 9, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 9, 2020.