Individual
MRS. SHELLY NICOLE DEERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
214 TORBETT ST STE J, RICHLAND, WA 99354-2651
(509) 942-4597
Mailing address
214 TORBETT ST STE J, RICHLAND, WA 99354-2651
(509) 942-4597
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60316510
WA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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