Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Micky Shane McCafferty, LMT

Individual provider Massage Therapist · NPI 1760103212

Micky Shane McCafferty, LMT is a Massage Therapist in Vancouver, Washington. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

501 E McLoughlin Blvd
Vancouver, WA 98663-3356
Phone: (360) 831-3834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA61408846 (WA)
Massage Therapist Taxonomy 225700000X · Licence 26877 (OR)

Record details

NPI number1760103212
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedSeptember 2, 2022
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024

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