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Mrs. Krystal Lynn Shope, LMP
Massage Therapist in Aberdeen, Washington
NPI 1730395799

Krystal Lynn Shope is a Massage Therapist based in Aberdeen, WA. Krystal Lynn Shope practices in Aberdeen, WA and has the professional credentials of LMP. The NPI Number for Krystal Lynn Shope is 1730395799 and holds a License No. MA00019187 (Washington).

The current practice location address for Krystal Lynn Shope is 104 S Chehalis St, Aberdeen, WA and can be reached out via phone at 360-537-5914 and via fax at 360-532-1059.

Location: 104 S Chehalis St, Aberdeen, WA, 98520-2957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730395799
Provider Name
Krystal Lynn Shope
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
104 S Chehalis St, Aberdeen, WA, 98520-2957
Phone Number
360-537-5914
Fax Number
360-532-1059
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
602365171 01 WA UBI
403369-00 01 WA NATIONAL CERTIFICATION #
026245 01 WA ABERDEEN CITY LICENCE #
MA00019187 01 WA STATE LICENCE #
institution
Provider Business Practice Location Address Details
Address
104 S Chehalis St
City
Aberdeen
State
Washington
Zip
98520-2957
Phone Number
360-537-5914
Fax Number
360-532-1059
person
Provider Business Mailing Address Details
Address
104 S Chehalis St
City
Aberdeen
State
Washington
Zip
98520-2957
Phone Number
360-537-5914
Fax Number
360-532-1059
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00019187 (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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