Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Diane Shelby

Individual provider Massage Therapist · NPI 1306045380

Lisa Diane Shelby is a Massage Therapist in Bonney Lake, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

19516 103rd St E
Bonney Lake, WA 98391-5942
Phone: (253) 332-8774
Fax: (866) 824-8302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA00023626 (WA)

Record details

NPI number1306045380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2007
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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