NPI 1043603772

Shannon Middleton, LMPCCTW

Practitioner Mechanotherapist Everett, WA

Practice location

Address: 9410 7th Ave SE A10, Everett, WA 98208-3702
Phone: (425) 737-5509

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 0023719 (WA)

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Registry record

NPI: 1043603772
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2015
Record last updated: 5 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.