Individual
SHANNON SUE GOLDSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
7010 27TH ST W, UNIVERSITY PLACE, WA 98466-5215
(253) 534-8102
(253) 565-3346
Mailing address
7010 27TH ST W, UNIVERSITY PLACE, WA 98466-5215
(253) 534-8102
(253) 565-3346
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00010503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182749
WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRIES
WA
Enumeration date
06/26/2008
Last updated
06/26/2008
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