Doctor Name: | TESSA SHA' PERKINS |
NPI Number: | 1861768293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 18641 |
Business Practice Address: | 233 Se Washington St Ste 103 Hillsboro, OR - 971234023 |
Business Phone Number: | 5033529685 |
Business Fax Number: | |
Mailing Address: | 3280 Sw 170th Ave Apt 1505, BEAVERTON |
State: | OR |
Postal Code: | 970068610 |
Phone Number: | 5035487445 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2012 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 18641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |