Individual provider · Type 1 NPI

Shane William Ryan, LMT

Massage Therapist · Portland, OR

NPI number 1306247424 Active

Practice location

4039 N Mississippi Ave Ste 302
Portland, OR 97227-1477

Call (503) 706-8261 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14734 (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 1306247424

Shane William Ryan, LMT's National Provider Identifier is 1306247424, issued on Sep 8, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 8, 2014.