Shannon Avila

NPI 1407035801 - Massage Therapist - 225700000X

NPI Details
NPI 1407035801
Gender Female
Enumeration Date 11/01/2007
Last Updated 11/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1422 31ST AVE S
SEATTLE WA, 98144-3910, US
Phone (206) 322-1770
Fax
Business Location
1422 31ST AVE S
SEATTLE WA, 98144-3910, US
Phone
Fax
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA00024096
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According to our database, Shannon Avila NPI is 1407035801, taxonomy code is 225700000X and license number is MA00024096, license state is located at Washington. Shannon Avila physically located at 1422 31st Ave S, Seattle WA, 98144-3910. NPI Number Shannon Avila has the Individual type.

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1407035801 NPI number is provided on an as is basis without warranty of any kind. 1407035801 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Avila are for informational purposes only.