Individual provider · Type 1 NPI

Shadley Roberts, LMT

Massage Therapist · Montesano, WA

NPI number 1629627922 Active

Practice location

315 W Marcy Ave
Montesano, WA 98563-3618

Fax (360) 532-1059

Mailing address

PO Box 366
Montesano, WA 98563-0366

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60317070 (WA)

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 1629627922

Shadley Roberts, LMT's National Provider Identifier is 1629627922, issued on Sep 9, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Montesano, WA. The record was last updated on Sep 9, 2019.