Individual
AMETHYST SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 MULLEN RD SE, OLYMPIA, WA 98503-7147
(443) 254-1149
Mailing address
1060 CENTRAL ST SE, OLYMPIA, WA 98501-1763
(443) 254-1149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-485
ID
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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