Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104535343 Individual Practitioner Male Practitioner

Tim Shead , MASSAGE THERAPIST

Massage Therapist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Tim Shead, MASSAGE THERAPIST is a registered healthcare professional specializing in Massage Therapist in Vancouver, WA. Practice services are available at 1319 NE 134TH ST STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1319 Ne 134th St Ste 103

Vancouver, WA 986852718

Telephone 3605743141
Associated Practice Facility / Clinic
🏢 Cke Longevity Llc Facility NPI 1104263599

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
768 Specialists

Practicing in Vancouver, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-12
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA61337295

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Kerri Davis

Massage Therapist

NPI 1003375874
Mackenzie Hull

Massage Therapist

NPI 1023725140
Mitchell Plummer , LMT

Massage Therapist

NPI 1053870790

Licensed Massage Therapist

Esther Bonds

Counselor - Mental Health

NPI 1114475035
Chris Browning , LMP

Massage Therapist

NPI 1184165730

Licensed Massage Practitioner

NPI 1255983649

MASSAGETHERAPIST

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 16, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2022

Registered at 1319 NE 134TH ST STE 103, VANCOUVER, WA 986852718 (Tel: 3605743141)

📍
Updated Business Mailing Address November 16, 2022

Registered at 5602 NE 252ND AVE, VANCOUVER, WA 986829191

👤
Provider Name / Credentials Updated November 16, 2022

Recorded as TIM SHEAD, MASSAGE THERAPIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2022

Massage Therapist (License #MA61337295 in WA)

🟢
Initial NPI Registration & Enumeration November 16, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104535343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2022
Last Update: November 16, 2022
Sole Proprietor: Yes

Mailing Address

5602 Ne 252nd Ave

Vancouver, WA 986829191

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.