| NPI | 1780234872 |
|---|---|
| Professional Name | SHANE KATHIRESON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34704) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60981294) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-03-20 |