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Shannon Walter, LMP
Massage Therapist in Arlington, Washington
NPI 1912046772

Shannon Walter is a Massage Therapist based in Anacortes, WA. Shannon Walter practices in Arlington, WA and has the professional credentials of LMP. The NPI Number for Shannon Walter is 1912046772 and holds a License No. MA00006202 (Washington).

The current practice location address for Shannon Walter is 3810 166Th Pl Ne, Arlington, WA and can be reached out via phone at 360-333-8361.

Location: 3810 166Th Pl Ne, Arlington, WA, 98221-2053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912046772
Provider Name
Shannon Walter
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
3810 166Th Pl Ne, Arlington, WA, 98221-2053
Phone Number
360-333-8361
Fax Number
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0036825 01 WA LABOR & INDUSTRY PROVIDER
5529WA 01 WA REGENCE BLUE SHIELD
3810WA 01 WA REGENCE BLUE SHIELD
MA00006202 01 WA MASSAGE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3810 166Th Pl Ne
City
Arlington
State
Washington
Zip
98223-8402
Phone Number
360-333-8361
Fax Number
person
Provider Business Mailing Address Details
Address
3810 166Th Pl Ne
City
Arlington
State
Washington
Zip
98223-8402
Phone Number
360-333-8361
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00006202 (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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