Individual
ANTHONY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10209 BRIDGEPORT WAY SW, STE B-6, LAKEWOOD, WA 98499
(253) 678-8825
Mailing address
10209 BRIDGEPORT WAY SW, STE B-6, LAKEWOOD, WA 98499
(253) 678-8825
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60491339
WA
Other
Enumeration date
09/25/2017
Last updated
02/05/2020
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