Individual
SHANNON BUDWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1050 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926
(509) 925-4171
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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