Shenae' M Dolan
Individual provider Active NPI Massage Therapist · Liberty Lake, WA
NPI 1700908803 · NPPES record last updated Jul 25, 2008
Key facts
- NPI
- 1700908803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00021664 (WA)
- Practice address
- 23801 E. Appleway
Liberty Lake, WA 99019 - Phone
- (509) 891-7777
- Fax
- (509) 891-7808
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00021664 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00021664 | WA | Yes |
Addresses
Primary practice location
23801 E. Appleway
Liberty Lake, WA 99019
Mailing address
PO Box 1232
Spokane Valley, WA 99037-1232
Phone (509) 922-0949
Other providers in Liberty Lake, WA
- Lorena Margaret De la Rosa
- Matthew Bryant Delker
- Dental Dignity, PLLC
- DGB PLLC
- Collin J Dietrick
- Caleb Matlock Dotson
- Melissa Douglas
- Dawn Dunagan
- Elizabeth A Duran
- Chase Anthony Earling
All providers in Liberty Lake, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.