Individual provider · Type 1 NPI

Shannon Kristine Kaltenbach, LMT

Massage Therapist · Portland, OR

NPI number 1972948479 Active

Practice location

2015 NE Cesar E Chavez Blvd
Portland, OR 97212-5305

Mailing address

6934 SE Ogden St
Portland, OR 97206-7382

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10650 (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 1972948479

Shannon Kristine Kaltenbach, LMT's National Provider Identifier is 1972948479, issued on May 9, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on May 9, 2013.