Individual
SHELLEY K. VESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12033 SE 256TH ST, KENT, WA 98030-6503
(253) 373-3711
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT00009803
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8432270
—
WA
Enumeration date
01/17/2007
Last updated
09/24/2012
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