Robert John Shute

NPI #1396382016 in Keizer, Oregon

Provider Information

NPI Number
1396382016
Entity Type
Individual
Name
Robert John Shute
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Dec 1, 2019
Last Updated
Dec 1, 2019

Practice Location

Address
6395 KEIZER STATION BLVD NE
City
Keizer
State
Oregon
ZIP Code
97303-2305
Phone
(503) 589-1597

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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