Provider Demographics
NPI:1841406824
Name:ARNO, SHANNA M (DOMP, DN, LMT, CYT)
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:M
Last Name:ARNO
Suffix:
Gender:F
Credentials:DOMP, DN, LMT, CYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13912 NE 20TH AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-1401
Mailing Address - Country:US
Mailing Address - Phone:360-694-9726
Mailing Address - Fax:360-694-9726
Practice Address - Street 1:13912 NE 20TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-1401
Practice Address - Country:US
Practice Address - Phone:360-694-9726
Practice Address - Fax:360-694-9726
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA172P00000X
WAMA0021648225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No172P00000XOther Service ProvidersNaprapath