IndividualActive
Aaron Shackelford, LMP
NPI 1043660731 · Massage Therapist · Mill Creek, WA
Provider details
- NPI number
- 1043660731
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMP
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA60658908 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1128 164th St Se
Apt M303
Mill Creek, WA 98012-1716
Phone: (574) 540-3935
Approximate (ZIP-level) locationGet directions
Mailing address
1128 164th St Se
Mill Creek, WA 98012
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2016-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.