Shane Allen Bush L.M.P.

NPI 1700896800 - Massage Therapist - 225700000X

NPI Details
NPI 1700896800
Gender Male
Enumeration Date 08/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
180 NICKERSON ST
STE 103
SEATTLE WA, 98109-1631, US
Phone (206) 852-7332
Fax
Business Location
180 NICKERSON ST STE 103
SEATTLE WA, 98109-1631, US
Phone (206) 852-7332
Fax
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA00011395
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According to our database, Shane Allen Bush L.M.P. NPI is 1700896800, taxonomy code is 225700000X and license number is MA00011395, license state is located at Washington. Shane Allen Bush L.M.P. physically located at 180 Nickerson St, Seattle WA, 98109-1631. NPI Number Shane Allen Bush L.M.P. has the Individual type.

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1700896800 NPI number is provided on an as is basis without warranty of any kind. 1700896800 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Allen Bush L.M.P. are for informational purposes only.