Tia Sheppard LMP

NPI 1295908549 - Massage Therapist - 225700000X

NPI Details
NPI 1295908549
Gender Female
Enumeration Date 04/08/2008
Last Updated 09/18/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
19820 STATE ROUTE 410 E
STE. 20
BONNEY LAKE WA, 98391-6377, US
Phone (253) 863-7510
Fax (253) 863-5970
Business Location
PO BOX 2170
SUMNER WA, 98390-0480, US
Phone (253) 840-2313
Fax (253) 840-6340
Taxonomy Code 225700000X
License State Washington
License Number MA00025044
Remove 1295908549 NPI Number

According to our database, Mrs. Tia Sheppard LMP NPI is 1295908549, taxonomy code is 225700000X and license number is MA00025044, license state is located at Washington. Tia Sheppard LMP physically located at 19820 State Route 410 E, Bonney Lake WA, 98391-6377. NPI Number Tia Sheppard LMP has the Individual type.

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1295908549 NPI number is provided on an as is basis without warranty of any kind. 1295908549 is maintained by the National Plan & Provider Enumeration System. The contents of Tia Sheppard LMP are for informational purposes only.