Shelley K. Vessey
Sports Medicine
12033 Se 256th St
Kent
, Washington 98030-6503
Shelley K. Vessey
Sports Medicine
12033 Se 256th St
Kent
, Washington 98030-6503
(509) 241-7628
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Shelley K. Vessey
- Po Box 34584
- Seattle, WA
- Zip : 98124-1584
- Fax : (509) 241-7628
- Phone : (509) 241-7349
Second Address
- Shelley K. Vessey
- 12033 Se 256th St
- Kent, WA
- Zip : 98030-6503
- Phone : (253) 373-3711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | PT00009803 | WA |
| Y | 213ES0000X | Sports Medicine | PT00009803 | WA |
National Provider Identifier
| NPI | 1336291616 |
|---|---|
| Provider Name | Shelley K. Vessey |
| First Address | Seattle, WA 98124-1584 |
| Second Address | Kent, WA 98030-6503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2007 |
| Last Update Date | 24/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8432270 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.