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Mira Shea, MSOM. LMT

NPI 1447525860 · on the registry since 2012 · sole proprietor

Practice

Address
222 Kenyon St Nw Ste 13
Olympia, WA 98502
Phone
(360) 688-4282
Organisation at this address
I'Mpowered Nutrition & Fitness, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Additional practice sites

  • 1202 Black Lake Blvd. Suite E, Olympia, WA

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington