IndividualActive
Shannon Blair, MA 60263684
NPI 1770857971 · Massage Therapist · Winlock, WA
Provider details
- NPI number
- 1770857971
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MA 60263684
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA 60263684 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
103 Se First Street
Winlock, WA 98596
Phone: (360) 520-0955
Approximate (ZIP-level) locationGet directions
Mailing address
Pob 245
Winlock, WA 98596
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2012-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.