MRS. Tia Sheppard, LMP

NPI #1295908549 in Bonney Lake, Washington

Provider Information

NPI Number: 1295908549
Entity Type: Individual
Name: MRS. Tia Sheppard, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Apr 8, 2008
Last Updated: Sep 18, 2008

Practice Location

Address: 19820 STATE ROUTE 410 E
Address 2: STE. 20
City: Bonney Lake
State: Washington
ZIP Code: 98391-6377
Phone: (253) 863-7510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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