Individual
MR. DONALD JEREMIAH SHEA JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
2839 GRANT ST, BELLINGHAM, WA 98225-2607
(360) 671-4489
(360) 671-4489
Mailing address
2839 GRANT ST, BELLINGHAM, WA 98225-2607
(360) 671-4489
(360) 671-4489
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00001617
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08193
LABOR AND INDUSTRIES
WA
Enumeration date
07/13/2005
Last updated
07/08/2007
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