Provider Demographics
NPI:1538254099
Name:DOVE, SHELLEY BETH (RRT)
Entity type:Individual
Prefix:MS
First Name:SHELLEY
Middle Name:BETH
Last Name:DOVE
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13106 MILITARY RD E
Mailing Address - Street 2:#B
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-0000
Mailing Address - Country:US
Mailing Address - Phone:253-841-0700
Mailing Address - Fax:
Practice Address - Street 1:1660 S. COLUMBIAN WY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-0000
Practice Address - Country:US
Practice Address - Phone:206-764-2494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care