Marian Elizabeth Shustov, LMT

NPI #1073012233 in Sammamish, Washington

Provider Information

NPI Number: 1073012233
Entity Type: Individual
Name: Marian Elizabeth Shustov, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 2, 2018
Last Updated: Feb 2, 2018

Practice Location

Address: 3054 255TH AVE SE
City: Sammamish
State: Washington
ZIP Code: 98075-9436
Phone: (425) 922-3774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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