Blair, Shannon Rae

Blair, Shannon Rae is an sole proprietor health care provider with primary practice located at 103 Se First Street , Winlock WA 98596. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Blair, Shannon Rae can be contacted via phone (360) 520-0955.

Contact Information

Primary practice address
103 Se First Street Winlock WA 98596
Phone: (360) 520-0955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA 60263684 Washington

Profile Details

NPI number 1770857971
LBN Legal business name Blair, Shannon Rae
Credentials MA 60263684
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2012
Last updated Aug 8th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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