Individual
SHELLY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, FDN-P, LMT
Contact information
Practice address
2138 NW 2ND AVE, ONTARIO, OR 97914-1960
(541) 212-1716
Mailing address
2138 NW 2ND AVE, ONTARIO, OR 97914-1960
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
—
—
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
06/12/2023
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