IndividualActive
Shannon Kaelene, MRET CHT LMP
NPI 1134373723 · Massage Therapist · Vancouver, WA
Provider details
- NPI number
- 1134373723
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MRET CHT LMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA00023591 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7604 Ne 5th Ave
Vancouver, WA 98665-8204
Phone: (503) 807-7217
Street-level locationGet directions
Mailing address
10883 Se 10th St
Vancouver, WA 98664-6154
Registry dates
- Enumerated
- 2008-11-09
- Last updated
- 2013-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.