Individual provider · Type 1 NPI

Jamie Dawn Shackelford, LMT

Massage Therapist · Tigard, OR

NPI number 1689791394 Active

Practice location

13599 SW Pacific Hwy Ste G
Tigard, OR 97223-4801

Call (503) 481-5832 Map

Fax (503) 481-5832

Mailing address

13599 SW Pacific Hwy Ste. G
Portland, OR 59102-6257

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000X11791 (OR)
Massage Therapist Primary 225700000X11791 (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.

Other massage therapist providers in Tigard

See all in Tigard →

About NPI 1689791394

Jamie Dawn Shackelford, LMT's National Provider Identifier is 1689791394, issued on Mar 26, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tigard, OR. The record was last updated on Jul 23, 2013.