Individual
GRACY SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA60417755
Contact information
Practice address
106 CASCADE AVE UNIT 203, GRANITE FALLS, WA 98252-8819
(206) 788-6530
Mailing address
106 CASCADE AVE UNIT 203, GRANITE FALLS, WA 98252-8819
(206) 788-6530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60417755
WA
Other
Enumeration date
03/22/2022
Last updated
03/26/2022
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