Shane Kooken-hover, LMT - Tigard, OR

Shane Kooken-hover, LMT

Massage Therapist in Tigard, Oregon

NPI 1154775799

Shane Kooken-hover is a Massage Therapist based in Tualatin, OR. Shane Kooken-hover practices in Tigard, OR and has the professional credentials of LMT. The NPI Number for Shane Kooken-hover is 1154775799 and holds a License No. 19795 (Oregon).

The current practice location address for Shane Kooken-hover is 12700 Sw North Dakota St, Tigard, OR and can be reached out via phone at 503-716-8281 and via fax at 503-716-8783.

Location: 12700 Sw North Dakota St, Tigard, OR, 97062-7444

NPI Number

1154775799

Provider Name

Shane Kooken-hover

Credential

LMT

Provider Entity Type

Individual

Gender

Male

Address

12700 Sw North Dakota St, Tigard, OR, 97062-7444

Phone Number

503-716-8281

Fax Number

503-716-8783

Provider Enumeration Date

04/20/2016

Last Update Date

03/09/2024

Address

12700 Sw North Dakota St

City

Tigard

State

Oregon

Zip

97223-0802

Phone Number

503-716-8281

Fax Number

503-716-8783

Address

12700 Sw North Dakota St

City

Tigard

State

Oregon

Zip

97223-0802

Phone Number

503-716-8281

Fax Number

503-716-8783

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

19795 (Oregon)

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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