Wyrwitzke, Shannon L
Wyrwitzke, Shannon L is an individual health care provider with primary practice located at 2310 Mildred St W Ste 130, University Place WA 98466-6031. 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. Wyrwitzke, Shannon L can be contacted via phone (253) 460-4244.Contact Information
Primary practice address
2310 Mildred St W Ste 130
University Place WA 98466-6031
Phone: (253) 460-4244
Fax: (877) 841-5137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00020781 | Washington |
Profile Details
| NPI number | 1447216502 |
|---|---|
| LBN Legal business name | Wyrwitzke, Shannon L |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Nov 19th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447216502 | NPPES |
| Washington | Other | MA00020781 | MASSAGE THERAPY LICENSE |
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