Most Relevant Information
Provider Data
| NPI Number: | 1003343914 |
| Provider Name: | SARA ANNE SHELTON |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00019446 |
Most Important Dates
| Enumeration Date: | 05/23/2017 |
| Last Updated: | 05/23/2017 |
Provider Practice Location
4052 E I ST
TACOMA
WA
984042930
Practice Location Phone/Fax
| Phone: | 3604647477 |
| Fax: |
Provider Mailing Location
4052 E I ST
TACOMA
WA
984042930
Provider Mailing Phone/Fax
| Phone: | 3604647477 |
| Fax: |