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Shalon Nicole Proffitt, LMP
Massage Therapist in Moses Lake, Washington
NPI 1740568500

Shalon Nicole Proffitt is a Massage Therapist based in Moses Lake, WA. Shalon Nicole Proffitt practices in Moses Lake, WA and has the professional credentials of LMP. The NPI Number for Shalon Nicole Proffitt is 1740568500 and holds a License No. MA 60131046 (Washington).

The current practice location address for Shalon Nicole Proffitt is 305 E Broadway Ave, Moses Lake, WA and can be reached out via phone at 509-766-8428 and via fax at 509-766-7327.

Location: 305 E Broadway Ave, Moses Lake, WA, 98837-1719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740568500
Provider Name
Shalon Nicole Proffitt
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
305 E Broadway Ave, Moses Lake, WA, 98837-1719
Phone Number
509-766-8428
Fax Number
509-766-7327
Provider Enumeration Date
07/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0263509 01 WA DEPT OF LABOR & INDUSTRY
institution
Provider Business Practice Location Address Details
Address
305 E Broadway Ave
City
Moses Lake
State
Washington
Zip
98837-1719
Phone Number
509-766-8428
Fax Number
509-766-7327
person
Provider Business Mailing Address Details
Address
305 E Broadway Ave
City
Moses Lake
State
Washington
Zip
98837-1719
Phone Number
509-766-8428
Fax Number
509-766-7327
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 60131046 (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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