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

Tim Shead, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1104535343

Tim Shead, MASSAGETHERAPIST is a Massage Therapist in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022

Practice location Address checks out

1319 NE 134th St Ste 103
Vancouver, WA 98685-2718
Phone: (360) 574-3141
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA61337295 (WA)

Record details

NPI number1104535343
Entity typeIndividual (Type 1)
GenderMale
Credentials MASSAGETHERAPIST
Sole proprietorYes
NPI enumeratedNovember 16, 2022
Last updated in NPPESNovember 16, 2022
Certification dateNovember 12, 2022
Mailing address5602 Ne 252nd Ave, Vancouver, WA 98682-9191

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