TIM SHEAD MASSAGE THERAPIST
NPI 1104535343
Massage Therapist in Vancouver, WA

Active since November 16, 2022
1319 NE 134TH ST STE 103, VANCOUVER, WA 98685(360) 574-3141 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tim Shead Massage Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIM SHEAD MASSAGE THERAPIST (NPI 1104535343) is an individual massage therapist in Vancouver, Washington, licensed in Washington (MA61337295) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1104535343
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameTIM SHEADCredential: MASSAGE THERAPIST
Location Address1319 NE 134TH ST STE 103Vancouver, WA 98685-2718
Mailing Address5602 Ne 252nd AveVancouver, WA 98682-9191
Sole ProprietorYes
Enumeration DateNovember 16, 2022
NPPES CertifiedNovember 12, 2022
NPI 1104535343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in WA · MA61337295
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.
1319 NE 134TH ST STE 103, Vancouver, WA 98685

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
1319 NE 134TH ST STE 103
VANCOUVER, WA 98685
Massage Therapist
1319 NE 134TH ST STE 103
VANCOUVER, WA 98685
Massage Therapist
1319 NE 134TH ST STE 103
VANCOUVER, WA 98685
Massage Therapist
1319 NE 134TH ST STE 103
VANCOUVER, WA 98685
Massage Therapist
1319 NE 134TH ST STE 103
VANCOUVER, WA 98685
Massage Therapist
1319 NE 134TH ST STE 103
VANCOUVER, WA 98685
Massage Therapist
1319 NE 134TH ST STE 103
VANCOUVER, WA 98685
Massage Therapist
1319 NE 134TH ST STE 103
VANCOUVER, WA 98685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Shead's NPI number?

The NPI number for Tim Shead is 1104535343. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Where is Tim Shead located?

Tim Shead practices at 1319 NE 134th St Ste 103, Vancouver, WA 98685. The listed phone number is (360) 574-3141.

What is Tim Shead's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Tim Shead was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.