Individual provider · Type 1 NPI

Shane Allen Bush, L.M.P.

Massage Therapist · Seattle, WA

NPI number 1700896800 Active

Practice location

180 Nickerson St, Ste 103
Seattle, WA 98109-1631

Call (206) 852-7332 Map

Mailing address

180 Nickerson St Ste 103
Seattle, WA 98109-1631

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00011395 (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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About NPI 1700896800

Shane Allen Bush, L.M.P.'s National Provider Identifier is 1700896800, issued on Aug 9, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.