MR. SHANE WILLIAM RYAN LMT
NPI 1306247424
Massage Therapist in Portland, OR
Active since September 08, 2014
About Mr. Shane William Ryan Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SHANE WILLIAM RYAN LMT (NPI 1306247424) is an individual massage therapist in Portland, Oregon, licensed in Oregon (14734) and active in the NPI registry since September 2014.
NPPES Registry Identity
NPI1306247424
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. SHANE WILLIAM RYANCredential: LMT
Location Address4039 N MISSISSIPPI AVE STE 302Portland, OR 97227-1477
Mailing Address4039 N Mississippi Ave Ste 302Portland, OR 97227-1477 · (503) 706-8261
Phone(503) 706-8261
Sole ProprietorNo
Enumeration DateSeptember 8, 2014
✔ NPI 1306247424 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 · 14734
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.
4039 N MISSISSIPPI AVE STE 302, Portland, OR 97227
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306247424, enumerated as an "individual" on September 08, 2014.
The provider is located at 4039 N MISSISSIPPI AVE STE 302 PORTLAND, OR 97227 and the phone number is (503) 706-8261.
Massage Therapist with taxonomy code 225700000X.
