Individual
GABRIELA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 1/2 N 2ND AVE, SUITE 303, WALLA WALLA, WA 99362-1855
(509) 200-1274
Mailing address
3 MICHAEL GROVE AVE, BOZEMAN, MT 59718-1849
(509) 200-1274
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023712
WA
Other
Enumeration date
08/12/2009
Last updated
05/19/2015
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