Individual
BRADEN SHINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
19102 SR 410 E SUITE A, BONNEY LAKE, WA 98391
(253) 863-6378
(253) 863-6429
Mailing address
19102 SR 410 E SUITE A, BONNEY LAKE, WA 98391
(253) 863-6378
(253) 863-6429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60192312
WA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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