Individual
CAROLINE KELLER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16819 NE 159TH ST, BRUSH PRAIRIE, WA 98606-7323
(360) 448-6450
Mailing address
230 W WINDSOR AVE, ALEXANDRIA, VA 22301-1518
(703) 819-6915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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