Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH00034033 | WA |
N | 111NS0005X | Chiropractic Sports Physician | CH00034033 | WA |
NPI | 1346385796 |
---|---|
Provider Name | Dr. Shelley Cathrea |
First Address | Seattle, WA 98121-1896 |
Second Address | Seattle, WA 98121-1896 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |