| Doctor Name: | MRS. HOLLEY JEAN DESHAW |
| NPI Number: | 1902827025 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.T. |
| License Number: | 10890 |
| Business Practice Address: | 559 Glatt Cir Woodburn, OR - 970719675 |
| Business Phone Number: | 5039814591 |
| Business Fax Number: | 5039823308 |
| Mailing Address: | Po Box 315, MOUNT ANGEL |
| State: | OR |
| Postal Code: | 973620315 |
| Phone Number: | 5034071821 |
| Fax Number: | |
| NPI Enumeration Date: | 07/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | 10890 |
| 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. |