Individual
MR. DEAN A SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1702 S 72ND ST, SUITE A, TACOMA, WA 98408-1238
(253) 475-7317
(253) 474-3540
Mailing address
PO BOX 24142, FEDERAL WAY, WA 98093-1142
(253) 475-7317
(253) 474-3540
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00008235
WA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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