Individual
SHANNON MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, CCTW
Contact information
Practice address
9410 7TH AVE SE, A10, EVERETT, WA 98208-3702
(425) 737-5509
Mailing address
9410 7TH AVE SE, A10, EVERETT, WA 98208-3702
(425) 737-5509
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0023719
WA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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