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SHANON TYSLAND RPTL
NPI 1851398754
Specialist in Lynnwood, WA

Active since July 07, 2005
4030 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036(425) 776-0803(425) 776-0813 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shanon Tysland Rptl NPPES

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

SHANON TYSLAND RPTL (NPI 1851398754) is an individual specialist in Lynnwood, Washington, licensed in Washington (PT00008170) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1851398754
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSHANON TYSLANDCredential: RPTL
Location Address4030 ALDERWOOD MALL BLVDLynnwood, WA 98036
Mailing Address4030 Alderwood Mall BlvdLynnwood, WA 98036 · (425) 776-0803 · Fax (425) 776-0813
Phone(425) 776-0803
Fax(425) 776-0813
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateFebruary 10, 2015
✔ NPI 1851398754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · PT00008170
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4030 ALDERWOOD MALL BLVD, Lynnwood, WA 98036
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Other Identifiers 2

Medicare UPINP64269WA
Medicare ID-Type UnspecifiedAB32395WA · Medicare Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVNEET MAHAL DPT
Physical Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 776-0803
JILLIAN LINDSEY
Massage Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (485) 776-0803
TYLER ZACHERY MA PT
Physical Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 776-0803
JANE BELLOUSOV
Massage Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 776-0803
MISS JOHANNA NICOLE DIBBLE RD
Dietitian, Registered
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 776-0803
MEGAN MARCELLA MCARTHUR DPT
Physical Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 776-0803
KAYLA LEE ACOTT MT
Massage Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 776-0803
STEPHANIE MAGNIN DPT
Physical Therapist
4030 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Snohomish County (425) 776-0803

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 Shanon Tysland's NPI number?

The NPI number for Shanon Tysland is 1851398754. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Shanon Tysland located?

Shanon Tysland practices at 4030 Alderwood Mall Blvd, Lynnwood, WA 98036. The listed phone number is (425) 776-0803.

What is Shanon Tysland's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Shanon Tysland accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shanon Tysland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shanon Tysland was last updated on February 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.