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NPI Code Detail

MEDICARE: CAITLIN MAUREEN SHIPLEY LMT

MEDICARE: CAITLIN MAUREEN SHIPLEY LMT
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
1225700000XMassage TherapistMA60811357WA

General Provider Information

NPI Number : 1568979946
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN MAUREEN SHIPLEY LMT
Provider Business Mailing Address
First Line : 2629 14TH AVE W APT 28
Second Line :
City : SEATTLE
State : WA
Zip : 98119-2148
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 160 ROY ST
Second Line :
City : SEATTLE
State : WA
Zip : 98109-4162
Country : US
Telephone Number : 206-453-4137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2018
Last Update Date : 01/06/2018

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Directions to “ CAITLIN MAUREEN SHIPLEY LMT” Practice Location

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