Individual provider · Type 1 NPI

Tiffani Marie Shoemaker, LMT

Massage Therapist · Portland, OR

NPI number 1699892646 Active

Practice location

13112 NE Halsey St
Portland, OR 97230-2350

Call (503) 252-3952 Map

Fax (503) 252-3052

Mailing address

19155 SE Yamhill St Apt 18
Portland, OR 97233-5978

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12701 (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 1699892646

Tiffani Marie Shoemaker, LMT's National Provider Identifier is 1699892646, issued on Mar 23, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.