SHANE DYLAN ADAIR LMT
NPI 1295340057
Massage Therapist in Portland, OR
Active since September 09, 2020
About Shane Dylan Adair Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE DYLAN ADAIR LMT (NPI 1295340057) is an individual massage therapist in Portland, Oregon, licensed in Oregon (23923) and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1295340057
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSHANE DYLAN ADAIRCredential: LMT
Location Address2934 SE STEPHENS STPortland, OR 97214-4960
Mailing Address2934 Se Stephens StPortland, OR 97214-4960 · (702) 721-5357
Phone(702) 721-5357
Sole ProprietorYes
Enumeration DateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
✔ NPI 1295340057 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 OR · 23923
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.
2934 SE STEPHENS ST, Portland, OR 97214
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295340057, enumerated as an "individual" on September 09, 2020.
The provider is located at 2934 SE STEPHENS ST PORTLAND, OR 97214 and the phone number is (702) 721-5357.
Massage Therapist with taxonomy code 225700000X.
