Shelby Wallace, LMP
NPI #1386229672 in Clarkston, Washington
Provider Information
- NPI Number
- 1386229672
- Entity Type
- Individual
- Name
- Shelby Wallace, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Mar 17, 2021
- Last Updated
- Jun 23, 2021
Practice Location
- Address
- 919 HIGHLAND AVE
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-2762
- Phone
- (509) 758-9214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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