Gracy Shank, MA60417755

NPI #1801545355 in Granite Falls, Washington

Provider Information

NPI Number: 1801545355
Entity Type: Individual
Name: Gracy Shank, MA60417755
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MA60417755
Enumeration Date: Mar 22, 2022
Last Updated: Mar 26, 2022

Practice Location

Address: 106 CASCADE AVE UNIT 203
City: Granite Falls
State: Washington
ZIP Code: 98252-8819
Phone: (206) 788-6530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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