Individual
ASHLEY MICHELLE SHADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9881 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-2805
(253) 753-4008
(253) 276-0067
Mailing address
3525 ENSIGN RD NE STE O-2, OLYMPIA, WA 98506-5065
(360) 459-2771
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60848907
WA
Other
Enumeration date
09/25/2017
Last updated
05/20/2022
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