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Shantell Lee Leinan, LMT
Massage Therapist in Forks, Washington
NPI 1659885390

Shantell Lee Leinan is a Massage Therapist based in Forks, WA. Shantell Lee Leinan practices in Forks, WA and has the professional credentials of LMT. The NPI Number for Shantell Lee Leinan is 1659885390 and holds a License No. MA00015840 (Washington).

The current practice location address for Shantell Lee Leinan is 530 Bogachiel Way, Forks, WA and can be reached out via phone at 360-374-6271 and via fax at 360-374-2520.

Location: 530 Bogachiel Way, Forks, WA, 98331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659885390
Provider Name
Shantell Lee Leinan
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
530 Bogachiel Way, Forks, WA, 98331
Phone Number
360-374-6271
Fax Number
360-374-2520
Provider Enumeration Date
11/16/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891879680 01 WA FACILITY NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
530 Bogachiel Way
City
Forks
State
Washington
Zip
98331-9120
Phone Number
360-374-6271
Fax Number
360-374-2520
person
Provider Business Mailing Address Details
Address
530 Bogachiel Way
City
Forks
State
Washington
Zip
98331-9120
Phone Number
360-374-6271
Fax Number
360-374-2520
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00015840 (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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