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GWENDOLYN KATHLEEN SHATTUCK LMT
NPI 1457177420
Massage Therapist in Lake Forest Park, WA

Active since November 25, 2024
19519 38TH AVE NE, LAKE FOREST PARK, WA 98155(206) 235-6694 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Gwendolyn Kathleen Shattuck Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN KATHLEEN SHATTUCK LMT (NPI 1457177420) is an individual massage therapist in Lake Forest Park, Washington, licensed in Washington (MA61583202) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1457177420
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameGWENDOLYN KATHLEEN SHATTUCKCredential: LMT
Location Address19519 38TH AVE NELake Forest Park, WA 98155-2609
Mailing Address19519 38th Ave NeLake Forest Park, WA 98155-2609 · (206) 235-6694
Phone(206) 235-6694
Sole ProprietorNo
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1457177420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA61583202
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
19519 38TH AVE NE, Lake Forest Park, WA 98155
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Shattuck's NPI number?

The NPI number for Gwendolyn Shattuck is 1457177420. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Gwendolyn Shattuck located?

Gwendolyn Shattuck practices at 19519 38th Ave NE, Lake Forest Park, WA 98155. The listed phone number is (206) 235-6694.

What is Gwendolyn Shattuck's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Shattuck was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.