Individual
DOUGLAS SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
24228 89TH PL W, EDMONDS, WA 98026-9010
(772) 245-0818
Mailing address
24228 89TH PL W, EDMONDS, WA 98026-9010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160984382
WA
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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