Individual
MS. KIMBERLY MCCAMMON SHAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
205 NW 58TH ST, APT B, SEATTLE, WA 98107-2030
(206) 979-8856
Mailing address
205 NW 58TH ST, APT B, SEATTLE, WA 98107-2030
(206) 979-8856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010242
WA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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