Individual
BIBI ANNE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5216 72ND ST E, TACOMA, WA 98443-2722
(253) 380-3012
Mailing address
PO BOX 146, PUYALLUP, WA 98371-0015
(253) 380-3012
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60192036
WA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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