Smith, Shannon Lynn

Smith, Shannon Lynn is an individual health care provider with primary practice located at 400 S 43Rd St , Renton WA 98055-5714. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Smith, Shannon Lynn can be contacted via phone (425) 690-3650.

Contact Information

Primary practice address
400 S 43Rd St Renton WA 98055-5714
Phone: (425) 690-3650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT00002086 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00002086 Washington

Profile Details

NPI number 1578799722
LBN Legal business name Smith, Shannon Lynn
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2009
Last updated Nov 29th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578799722 NPPES
Washington Other 0291600 DEPT. OF LABOR AND INDUSTRIES
Washington MEDICAID 1578799722 DEPT. OF LABOR AND INDUSTRIES

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