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Micky Shane Mccafferty, LMT
Massage Therapist in Vancouver, Washington
NPI 1760103212

Micky Shane Mccafferty is a Massage Therapist based in Vancouver, WA. Micky Shane Mccafferty practices in Vancouver, WA and has the professional credentials of LMT. The NPI Number for Micky Shane Mccafferty is 1760103212 and holds a License No. 26877 (Washington).

The current practice location address for Micky Shane Mccafferty is 501 E Mcloughlin Blvd, Vancouver, WA and can be reached out via phone at 360-831-3834.

Location: 501 E Mcloughlin Blvd, Vancouver, WA, 98682-5721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760103212
Provider Name
Micky Shane Mccafferty
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
501 E Mcloughlin Blvd, Vancouver, WA, 98682-5721
Phone Number
360-831-3834
Fax Number
Provider Enumeration Date
09/02/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
501 E Mcloughlin Blvd
City
Vancouver
State
Washington
Zip
98663-3356
Phone Number
360-831-3834
Fax Number
person
Provider Business Mailing Address Details
Address
501 E Mcloughlin Blvd
City
Vancouver
State
Washington
Zip
98663-3356
Phone Number
360-831-3834
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
26877 (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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