Shannon Middleton, LMP, CCTW

NPI #1043603772 in Everett, Washington

Provider Information

NPI Number: 1043603772
Entity Type: Individual
Name: Shannon Middleton, LMP, CCTW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMP, CCTW
Enumeration Date: Mar 5, 2015
Last Updated: Mar 5, 2015

Practice Location

Address: 9410 7TH AVE SE
Address 2: A10
City: Everett
State: Washington
ZIP Code: 98208-3702
Phone: (425) 737-5509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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