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Tim Shead, MASSAGETHERAPIST
Massage Therapist in Vancouver, Washington
NPI 1104535343

Tim Shead is a Massage Therapist based in Vancouver, WA. Tim Shead practices in Vancouver, WA and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Tim Shead is 1104535343 and holds a License No. MA61337295 (Washington).

The current practice location address for Tim Shead is 1319 Ne 134Th St Ste 103, Vancouver, WA and can be reached out via phone at 360-574-3141.

Location: 1319 Ne 134Th St Ste 103, Vancouver, WA, 98682-9191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104535343
Provider Name
Tim Shead
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Male
Address
1319 Ne 134Th St Ste 103, Vancouver, WA, 98682-9191
Phone Number
360-574-3141
Fax Number
Provider Enumeration Date
11/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1319 Ne 134Th St Ste 103
City
Vancouver
State
Washington
Zip
98685-2718
Phone Number
360-574-3141
Fax Number
person
Provider Business Mailing Address Details
Address
1319 Ne 134Th St Ste 103
City
Vancouver
State
Washington
Zip
98685-2718
Phone Number
360-574-3141
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61337295 (Washington)
Definition
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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