Individual
TAELAR A SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3010 AMHURST ST SE, OLYMPIA, WA 98501-5994
(360) 791-1636
Mailing address
3010 AMHURST ST SE, OLYMPIA, WA 98501-5994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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