MEDICARE: MS. SHAWN K BARRETT LMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA00008714	WA

General Provider Information

NPI Number	:	1376755512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHAWN K BARRETT LMP

Provider Business Mailing Address
First Line	:	PO BOX 46662
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98146
Country	:	US
Telephone Number	:	206-794-5653
Fax Number	:	206-774-8393

Provider Business Practice Location Address
First Line	:	3213 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3304
Country	:	US
Telephone Number	:	206-794-5653
Fax Number	:	206-774-8393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	06/28/2008

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