NPI 1184825036

Dean a Shannon, LMP

Practitioner Mechanotherapist Tacoma, WA

Practice location

Address: 1702 S 72nd St Suite a, Tacoma, WA 98408-1238
Phone: (253) 475-7317
Fax: (253) 474-3540
Mailing address: PO Box 24142, Federal Way, WA 98093-1142

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA00008235 (WA)

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Registry record

NPI: 1184825036
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2007
Record last updated: 8 Jul 2007

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.