Shannon Rae Blair, MA 60263684
NPI #1770857971 in Winlock, Washington
Provider Information
- NPI Number
- 1770857971
- Entity Type
- Individual
- Name
- Shannon Rae Blair, MA 60263684
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- MA 60263684
- Enumeration Date
- Mar 6, 2012
- Last Updated
- Aug 8, 2012
Practice Location
- Address
- 103 SE FIRST STREET
- City
- Winlock
- State
- Washington
- ZIP Code
- 98596
- Phone
- (360) 520-0955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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