NPI 1720554660
Kyle Shankle
Practice location
- Address
- 1601 Avenue D, Snohomish, WA 98290-1718
- Phone
- (360) 563-7300
- Mailing address
- 214 161st St SE, Bothell, WA 98012-6332
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1720554660
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Oct 2018
- Record last updated
- 18 Oct 2018
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.