Individual
MS. SHELBY A PRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
529 SW 294TH ST, FEDERAL WAY, WA 98023-3540
(763) 234-6859
Mailing address
529 SW 294TH ST, FEDERAL WAY, WA 98023-3540
(763) 234-6859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161208458
WA
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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