Individual
MRS. CARRIE ELIZABETH SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., NCTM
Contact information
Practice address
2727 NW ELM AVE, REDMOND, OR 97756-5503
(901) 277-2531
(541) 548-5062
Mailing address
2727 NW ELM AVE, REDMOND, OR 97756-5503
(901) 277-2531
(541) 548-5062
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
13646
OR
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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