| Mrs Shonie Dannette Shanes, LMP | |
|
12263 North Mill Street, Clearlake, WA 98235 | |
| (360) 856-5354 | |
| Not Available |
| Full Name | Mrs Shonie Dannette Shanes |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 12263 North Mill Street, Clearlake, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497965925 | NPI | - | NPPES |
| 115508 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00010617 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shonie Dannette Shanes, LMP 24397 E State St, Sedro Woolley, WA 98284-8308 Ph: (360) 856-1992 | Mrs Shonie Dannette Shanes, LMP 12263 North Mill Street, Clearlake, WA 98235 Ph: (360) 856-5354 |
Sharon Lee Mcpherson Widen, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 23369 Pringle Street, Pob 52, Clearlake, WA 98235 Phone: 360-854-9765 | |
Susan L Pearson, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 12263 N. Mill Street, Clearlake, WA 98284 Phone: 360-856-1528 |