Shane Christopher Clyburn, LMP
NPI #1659541761 in Newcastle, Washington
Provider Information
- NPI Number
- 1659541761
- Entity Type
- Individual
- Name
- Shane Christopher Clyburn, LMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Mar 4, 2008
- Last Updated
- Mar 18, 2008
Practice Location
- Address
- 6965 COAL CREEK PKWY SE
- City
- Newcastle
- State
- Washington
- ZIP Code
- 98059-3136
- Phone
- (425) 641-7470
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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