Individual
MEGAN A SHEPARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
14948 PRAIRIE VISTA LOOP, YELM, WA 98597-8722
(718) 751-6424
Mailing address
14948 PRAIRIE VISTA LOOP, YELM, WA 98597-8722
(718) 751-6424
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 60240912
WA
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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