MS. Joan Marie Shephard, LMP

NPI #1265628838 in Edgewood, Washington

Provider Information

NPI Number: 1265628838
Entity Type: Individual
Name: MS. Joan Marie Shephard, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 18, 2007
Last Updated: Sep 18, 2007

Practice Location

Address: 1625 MERIDIAN AVE E
City: Edgewood
State: Washington
ZIP Code: 98371-1013
Phone: (253) 927-5530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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