Individual
SHELBY MARIE-MUSU BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6601 220TH ST SW STE 1, MOUNTLAKE TERRACE, WA 98043-2166
(425) 458-5344
Mailing address
6601 220TH ST SW STE 1, MOUNTLAKE TERRACE, WA 98043-2166
(425) 458-5344
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161434678
WA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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