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Individual
SHELLEY L SMATHERS
Active
Individual
SHELLEY L SMATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007185
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160516
DEPT OF LABOR & INDUSTRY
WA
01
—
8298SM
REGENCE BLUE SHIELD
WA
05
—
8337313
—
WA
01
—
8936915
CRIME VICTIMS
WA
01
—
A021
TRICARE
WA
Enumeration date
10/27/2006
Last updated
07/09/2007
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