Individual provider · Type 1 NPI
Tia Sheppard, LMP
Massage Therapist · Bonney Lake, WA
NPI number
1295908549
Active
Practice location
19820 State Route 410 E, Ste. 20
Bonney Lake, WA 98391-6377
Fax (253) 863-5970
Mailing address
PO Box 2170
Sumner, WA 98390-0480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00025044 (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.
4 other providers at this address
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About NPI 1295908549
Tia Sheppard, LMP's National Provider Identifier is 1295908549, issued on Apr 8, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bonney Lake, WA. The record was last updated on Sep 18, 2008.