Individual
ELIZABETH SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, LMT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63465
OR
225700000X
Massage Therapist
MA 60445388
WA
Other
Enumeration date
12/30/2015
Last updated
11/05/2024
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