| Shane Christopher Clyburn, LMP | |
|
6965 Coal Creek Pkwy Se, Newcastle, WA 98059-3136 | |
| (425) 641-7470 | |
| (425) 373-9176 |
| Full Name | Shane Christopher Clyburn |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 6965 Coal Creek Pkwy Se, Newcastle, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659541761 | NPI | - | NPPES |
| 0229693 | Other | WA | LABOR AND INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00019071 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Christopher Clyburn, LMP 6965 Coal Creek Pkwy Se, Newcastle, WA 98059-3136 Ph: (425) 641-7470 | Shane Christopher Clyburn, LMP 6965 Coal Creek Pkwy Se, Newcastle, WA 98059-3136 Ph: (425) 641-7470 |
Courtney King, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6985 Coal Creek Pkwy Se, Newcastle, WA 98059 Phone: 425-378-0500 Fax: 425-378-8168 | |
Ashley Robinson, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6965 Coal Creek Pkwy Se, Newcastle, WA 98059 Phone: 425-641-7470 | |
Jesus O Dela Torre Hernandez, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6985 Coal Creek Pkwy Se, Newcastle, WA 98059 Phone: 425-378-0500 Fax: 425-378-8168 | |
Ms. Leslie Jensen, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6985 Coal Creek Pkwy Se, Newcastle, WA 98059 Phone: 425-378-0500 | |
Abigail Lois Rausch, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6965 Coal Creek Pkwy Se, Newcastle, WA 98059 Phone: 425-641-7470 Fax: 425-373-9176 | |
Greg J Sobole, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6985 Coal Creek Pkwy Se, Newcastle, WA 98059 Phone: 425-378-0500 Fax: 425-378-8168 | |
Nelson Jeck, MT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6985 Coal Creek Pkwy Se, Newcastle, WA 98059 Phone: 425-378-0500 |