Emilio Shivers, LMT Valid NPI
Individual provider · Massage Therapist · Wilsonville, OR
- NPI
- 1669877403
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 21002 (OR)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-10-22
- Last updated
- 2014-10-22
Practice location
25700 Sw Argyle Ave
Wilsonville, OR 97070-5799
(503) 582-9805