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Individual

MR. AARON RYAN SHACKELFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
1128 164TH ST SE, APT M303, MILL CREEK, WA 98012-1716
(574) 540-3935
Mailing address
1128 164TH ST SE, APT M303, MILL CREEK, WA 98012
(574) 540-3935

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60658908
WA

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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