Individual provider · Type 1 NPI

Andrea Shore, LMP

Massage Therapist · Maple Valley, WA

NPI number 1780927798 Active

Practice location

24060 SE Kent Kangley Rd, D-100
Maple Valley, WA 98038-6801

Call (425) 433-0123 Map

Fax (425) 433-0733

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60312231 (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 1780927798

Andrea Shore, LMP's National Provider Identifier is 1780927798, issued on Mar 28, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maple Valley, WA. The record was last updated on Mar 28, 2013.