NPI 1689139214

Jamie Lynn Shaw

Practitioner Massage Therapist Delafield, WI

Practice location

Address: W307n1499 Golf Rd, Delafield, WI 53018-2129
Phone: (262) 754-1650
Fax: (262) 754-1650

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 14853-146 (WI)

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Registry record

NPI: 1689139214
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2019
Record last updated: 7 Feb 2019

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.