Beth Shannon, L.M.T
Massage Therapist in Atlanta, GA. Individual provider (NPI-1).
NPI number1013374446
StatusActive
Last updated in NPPESJan 14, 2016
Details
- NPI
- 1013374446
- Entity type
- Individual (NPI-1)
- Name
- Beth Shannon
- Credential
- L.M.T
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 14, 2016
- Last updated
- Jan 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT009847 | GA | Yes |
| 173C00000X | Reflexologist | MT009847 | GA |
Practice location
214 Ponce De Leon Ave NeSte 1
Atlanta, GA 30308-1910
Phone 404-806-0029
Mailing address
214 Ponce De Leon Ave NeSte 1
Atlanta, GA 30308-1910
Phone 404-806-0029
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