Individual provider · Type 1 NPI

Rebecca Ann Shadburne, LMT

Massage Therapist · Gresham, OR

NPI number 1730431735 Active

Practice location

501 NE Hood Ave., Suite 205
Gresham, OR 97030

Call (503) 674-7894 Map

Fax (503) 674-7899

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X19079 (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 1730431735

Rebecca Ann Shadburne, LMT's National Provider Identifier is 1730431735, issued on Oct 15, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gresham, OR. The record was last updated on Dec 18, 2014.