Shane Christophe Clyburn in Newcastle - Massage Therapist
Shane Christophe Clyburn - NPI 1659541761
Shane Christophe Clyburn is a Massage Therapist in Newcastle, Washington. Shane Christophe Clyburn practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Shane Christophe Clyburn is 1659541761. The last update date is 2008-03-18.
Shane Christophe Clyburn's current location address is 6965 Coal Creek Pkwy Se, Newcastle, Washington. You can contact this provider via phone number 4256417470 and fax number 4253739176. The mailing address for Shane Christophe Clyburn is 6965 Coal Creek Pkwy Se, Newcastle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Christophe Clyburn |
|---|---|
| Address | 6965 Coal Creek Pkwy Se, Newcastle, Washington |
| Phone Number | 4256417470 |
| Fax Number | 4253739176 |
| Sole Proprietor | N |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1659541761 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2008-03-18 |
Provider Mailing Address Detail
| Address | 6965 Coal Creek Pkwy Se |
|---|---|
| City | Newcastle |
| State | Washington (WA) |
| Post Code | 980593136 |
| Phone Number | 4256417470 |
| Fax Number | 4253739176 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00019071 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the unique 10-digit identification code issued to Shane Christophe Clyburn by the Centers for Medicare & Medicaid Services?
The Shane Christophe Clyburn has been assigned the NPI (National Provider Identifier) 1659541761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Shane Christophe Clyburn is located?
The Shane Christophe Clyburn is situated at the following address: 6965 Coal Creek Pkwy Se, Newcastle, WA, 980593136.
What is Shane Christophe Clyburn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shane Christophe Clyburn is Massage Therapist, and the taxonomy classification code that categorizes this area of expertise is 225700000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659541761 to Shane Christophe Clyburn?
The Centers for Medicare & Medicaid Services originally issued the 1659541761 to Shane Christophe Clyburn on 2008-03-04.
When was the information related to Shane Christophe Clyburn most recently updated or refreshed?
The details pertaining to the Shane Christophe Clyburn, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-18.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN