Individual provider · Type 1 NPI
Tracy Shepard, LMP
Massage Therapist · Morton, WA
NPI number
1053451070
Active
Practice location
101 Main Ave.
Morton, WA 98585
Fax (360) 216-2451
Mailing address
PO Box 263
Morton, WA 98356-0263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA9975 (WA) |
Massage Therapist: 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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- Sami Vertz, LMTMassage Therapist Morton, WA NPI 1285030353
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About NPI 1053451070
Tracy Shepard, LMP's National Provider Identifier is 1053451070, issued on Feb 7, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Morton, WA. The record was last updated on Feb 2, 2021.