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Shannon Rae Blair, MA60263684
Massage Therapist in Winlock, Washington
NPI 1770857971

Shannon Rae Blair is a Massage Therapist based in Winlock, WA. Shannon Rae Blair practices in Winlock, WA and has the professional credentials of MA60263684. The NPI Number for Shannon Rae Blair is 1770857971 and holds a License No. MA 60263684 (Washington).

The current practice location address for Shannon Rae Blair is 103 Se First Street, Winlock, WA and can be reached out via phone at 360-520-0955.

Location: 103 Se First Street, Winlock, WA, 98596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770857971
Provider Name
Shannon Rae Blair
Credential
MA60263684
Provider Entity Type
Individual
Gender
Female
Address
103 Se First Street, Winlock, WA, 98596
Phone Number
360-520-0955
Fax Number
Provider Enumeration Date
03/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
103 Se First Street
City
Winlock
State
Washington
Zip
98596
Phone Number
360-520-0955
Fax Number
person
Provider Business Mailing Address Details
Address
103 Se First Street
City
Winlock
State
Washington
Zip
98596
Phone Number
360-520-0955
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 60263684 (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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