Gwendolyn Kathleen Shattuck, LMT
NPI #1457177420 in Lake Forest Park, Washington
Provider Information
- NPI Number
- 1457177420
- Entity Type
- Individual
- Name
- Gwendolyn Kathleen Shattuck, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Nov 25, 2024
- Last Updated
- Nov 25, 2024
Practice Location
- Address
- 19519 38TH AVE NE
- City
- Lake Forest Park
- State
- Washington
- ZIP Code
- 98155-2609
- Phone
- (206) 235-6694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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