MRS. Krystal Lynn Shope, LMP

NPI #1730395799 in Aberdeen, Washington

Provider Information

NPI Number: 1730395799
Entity Type: Individual
Name: MRS. Krystal Lynn Shope, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 15, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 104 S CHEHALIS ST
Address 2: SUITE 4
City: Aberdeen
State: Washington
ZIP Code: 98520-2957
Phone: (360) 537-5914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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