Individual
KATHERINE R SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 CORPORATE CENTER CT SE STE D, LACEY, WA 98503-5952
(360) 455-8155
Mailing address
5210 CORPORATE CENTER CT SE STE D, LACEY, WA 98503-5952
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60990643
WA
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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