Individual provider · Type 1 NPI

Emilio Shivers, LMT

Massage Therapist · Wilsonville, OR

NPI number 1669877403 Active

Practice location

25700 SW Argyle Ave
Wilsonville, OR 97070-5799

Call (503) 582-9805 Map

Fax (503) 582-9795

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X21002 (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 1669877403

Emilio Shivers, LMT's National Provider Identifier is 1669877403, issued on Oct 22, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wilsonville, OR. The record was last updated on Oct 22, 2014.