Katherine Rose Shellorne in Spokane - Massage Therapist
Katherine Rose Shellorne - NPI 1770690042
Katherine Rose Shellorne is a Massage Therapist in Spokane, Washington. Katherine Rose Shellorne practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Katherine Rose Shellorne is 1770690042. The last update date is 2007-07-08.
Katherine Rose Shellorne's current location address is 4237 E 22nd Ave, Spokane, Washington. You can contact this provider via phone number 5095361838 and fax number 5095367463. The mailing address for Katherine Rose Shellorne is 4237 E 22nd Ave, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Rose Shellorne |
|---|---|
| Address | 4237 E 22nd Ave, Spokane, Washington |
| Phone Number | 5095361838 |
| Fax Number | 5095367463 |
| Sole Proprietor | Y |
| Credentials | L.M.P. |
NPI Number Detail
| NPI Number | 1770690042 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4237 E 22nd Ave |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992235521 |
| Phone Number | 5095361838 |
| Fax Number | 5095367463 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA6324 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76489 | WA | LABOR & INDUSTRIES PIN |
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What is the unique 10-digit identifier code assigned to Katherine Rose Shellorne by the Centers for Medicare & Medicaid Services?
The Katherine Rose Shellorne has been issued the NPI (National Provider Identifier) 1770690042 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Katherine Rose Shellorne located?
The Katherine Rose Shellorne is located at 4237 E 22Nd Ave, Spokane, WA 992235521.
What is Katherine Rose Shellorne's specialized field of practice, and what is the corresponding taxonomy classification code?
The Katherine Rose Shellorne's area of specialization is Massage Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225700000X.
On what date did the Katherine Rose Shellorne receive its 1770690042 assignment from the Centers for Medicare & Medicaid Services?
The Katherine Rose Shellorne was assigned its 1770690042 by the Centers for Medicare & Medicaid Services on 2006-08-24.
As of what date were the Katherine Rose Shellorne's details last updated?
The information pertaining to the Katherine Rose Shellorne, including its address, specialty, and other details, was most recently updated on 2007-07-08.