Katherine L Shankland, LMT
Massage Therapist in Merritt Island, FL. Individual provider (NPI-1).
NPI number1154499028
StatusActive
Last updated in NPPESMay 26, 2009
Details
- NPI
- 1154499028
- Entity type
- Individual (NPI-1)
- Name
- Katherine L Shankland
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- May 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA45500 | FL | Yes |
Practice location
243 N Plumosa StMerritt Island, FL 32953-3468
Phone 321-449-9393
Mailing address
243 N Plumosa StMerritt Island, FL 32953-3468
Phone 321-223-2587
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