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Shane Christopher Clyburn, LMP
Massage Therapist in Newcastle, Washington
NPI 1659541761

Shane Christopher Clyburn is a Massage Therapist based in Newcastle, WA. Shane Christopher Clyburn practices in Newcastle, WA and has the professional credentials of LMP. The NPI Number for Shane Christopher Clyburn is 1659541761 and holds a License No. MA00019071 (Washington).

The current practice location address for Shane Christopher Clyburn is 6965 Coal Creek Pkwy Se, Newcastle, WA and can be reached out via phone at 425-641-7470 and via fax at 425-373-9176.

Location: 6965 Coal Creek Pkwy Se, Newcastle, WA, 98059-3136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659541761
Provider Name
Shane Christopher Clyburn
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
6965 Coal Creek Pkwy Se, Newcastle, WA, 98059-3136
Phone Number
425-641-7470
Fax Number
425-373-9176
Provider Enumeration Date
03/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0229693 01 WA LABOR AND INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
6965 Coal Creek Pkwy Se
City
Newcastle
State
Washington
Zip
98059-3136
Phone Number
425-641-7470
Fax Number
425-373-9176
person
Provider Business Mailing Address Details
Address
6965 Coal Creek Pkwy Se
City
Newcastle
State
Washington
Zip
98059-3136
Phone Number
425-641-7470
Fax Number
425-373-9176
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00019071 (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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