Individual
KATRINA JEANNE SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21008 76TH AVE W, EDMONDS, WA 98026-7104
(425) 778-0107
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61141924
WA
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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