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Shannon L Wyrwitzke, LMP
Massage Therapist in University Place, Washington
NPI 1447216502

Shannon L Wyrwitzke is a Massage Therapist based in University Place, WA. Shannon L Wyrwitzke practices in University Place, WA and has the professional credentials of LMP. The NPI Number for Shannon L Wyrwitzke is 1447216502 and holds a License No. MA00020781 (Washington).

The current practice location address for Shannon L Wyrwitzke is 2310 Mildred St W, University Place, WA and can be reached out via phone at 253-460-4244 and via fax at 877-841-5137.

Location: 2310 Mildred St W, University Place, WA, 98466-6036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447216502
Provider Name
Shannon L Wyrwitzke
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
2310 Mildred St W, University Place, WA, 98466-6036
Phone Number
253-460-4244
Fax Number
877-841-5137
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA00020781 01 WA MASSAGE THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
2310 Mildred St W
City
University Place
State
Washington
Zip
98466-6031
Phone Number
253-460-4244
Fax Number
877-841-5137
person
Provider Business Mailing Address Details
Address
2310 Mildred St W
City
University Place
State
Washington
Zip
98466-6031
Phone Number
253-460-4244
Fax Number
877-841-5137
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00020781 (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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