Katie Elizabeth Shell

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA60043692 Issued in WA

Practice address

317 NW Gilman Blvd
Suite 45
Issaquah, WA 98027-2496

Phone

(425) 391-4766

Fax

(425) 657-0630

NPI assigned

Feb 13, 2009

Last updated

Jun 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1255570248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 NW GILMAN BLVD",
            "address_2": "SUITE 45",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272496",
            "telephone_number": "425-391-4766",
            "fax_number": "425-657-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NW GILMAN BLVD",
            "address_2": "SUITE 45",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272496",
            "telephone_number": "425-391-4766",
            "fax_number": "425-657-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60043692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Preston Shaw, M.D.
• Lisa Joy Shaw, PH.D.
• Omar Shehab, DDS
• Safa Sheikh, CCC-SLP
• Tyler Jeffrey Sheldon, DPT
• Tatyana R Shepel, PSY.D.
• Jessica Shepherd
• Nancy Lee Shepherd, COTA
• Tina Sheriff
• Ronald Glenn Sherman, DMD

• Mechanotherapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Mechanotherapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.