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Individual

SHELLEY S EARING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT OCS

Contact information

Practice address
2102 CARRIAGE DR SW, SUITE B, OLYMPIA, WA 98502-5700
(360) 866-0408
(360) 866-1165
Mailing address
2102 CARRIAGE DR SW, SUITE B, OLYMPIA, WA 98502-5700
(360) 866-0408
(360) 866-1165

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00002526
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56853
LABOR AND INDUSTRIES
WA
05
8341083
WA
Enumeration date
09/21/2005
Last updated
10/11/2007
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