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Shelby Wallace, LMP
Massage Therapist in Clarkston, Washington
NPI 1386229672

Shelby Wallace is a Massage Therapist based in Clarkston, WA. Shelby Wallace practices in Clarkston, WA and has the professional credentials of LMP. The NPI Number for Shelby Wallace is 1386229672 and holds a License No. MA61147629 (Washington).

The current practice location address for Shelby Wallace is 919 Highland Ave, Clarkston, WA and can be reached out via phone at 509-758-9214.

Location: 919 Highland Ave, Clarkston, WA, 99403-2762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386229672
Provider Name
Shelby Wallace
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
919 Highland Ave, Clarkston, WA, 99403-2762
Phone Number
509-758-9214
Fax Number
Provider Enumeration Date
03/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
919 Highland Ave
City
Clarkston
State
Washington
Zip
99403-2762
Phone Number
509-758-9214
Fax Number
person
Provider Business Mailing Address Details
Address
919 Highland Ave
City
Clarkston
State
Washington
Zip
99403-2762
Phone Number
509-758-9214
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61147629 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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