Individual provider · Type 1 NPI

Shannon Rae Blair, MA 60263684

Massage Therapist · Winlock, WA

NPI number 1770857971 Active

Practice location

103 SE First Street
Winlock, WA 98596

Call (360) 520-0955 Map

Mailing address

Pob 245, 103 SE First Street
Winlock, WA 98596

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60263684 (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 1770857971

Shannon Rae Blair, MA 60263684's National Provider Identifier is 1770857971, issued on Mar 6, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winlock, WA. The record was last updated on Aug 8, 2012.