Provider Demographics
NPI:1285868620
Name:MEYER, SHIRLYN C (LMP)
Entity type:Individual
Prefix:MS
First Name:SHIRLYN
Middle Name:C
Last Name:MEYER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 E MERCER ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4030
Mailing Address - Country:US
Mailing Address - Phone:206-853-5654
Mailing Address - Fax:
Practice Address - Street 1:2009 E MERCER ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4030
Practice Address - Country:US
Practice Address - Phone:206-853-5654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60073297225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist