Individual provider · Type 1 NPI

Shasta Lee Williams

Massage Therapist · Milwaukie, OR

NPI number 1750650495 Active

Practice location

3880 SE Harrison St
Milwaukie, OR 97222-5899

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10529 (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 1750650495

Shasta Lee Williams's National Provider Identifier is 1750650495, issued on Dec 27, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Milwaukie, OR. The record was last updated on Dec 27, 2011.